Intrahepatic splenosis mimics hepatocellular carcinoma in a patient with chronic hepatitis B: A case report and literature review
| Autor: | Xiao-Feng Zhang, Le-Hua Shi, Xifeng Li, Zhen-Lin Yan, Wen-Chao Wang, Yu Wang, Jun-Yong Ma |
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| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty Carcinoma Hepatocellular diagnosis medicine.medical_treatment intrahepatic splenosis Splenectomy Spleen Gastroenterology 03 medical and health sciences 0302 clinical medicine Chronic hepatitis Internal medicine Carcinoma medicine Hepatectomy Humans case report Clinical Case Report Incidental Findings business.industry Liver Neoplasms Accidents Traffic Nodule (medicine) General Medicine Splenic Rupture hepatocellular carcinoma Middle Aged medicine.disease Diaphragm (structural system) medicine.anatomical_structure Liver 030220 oncology & carcinogenesis Hepatocellular carcinoma Splenic Tissue 030211 gastroenterology & hepatology Radiology medicine.symptom business Splenosis Research Article |
| Zdroj: | Medicine |
| ISSN: | 1536-5964 |
| Popis: | Background: Splenosis is a benign and relatively uncommon condition caused by trauma or splenectomy or other procedures involving splenic tissue. It is usually asymptomatic, and often diagnosed accidentally, especially misdiagnosed as malignant tumor. Methods: A 54-year-old man with prior history of chronic hepatitis B virus infection and underwent splenectomy for traumatic splenic rupture following a traffic accident 23 years previously was admitted to our hospital and found a hepatic mass in the right upper quadrant during an imaging examination. The diagnosis of his was not clear and finally he agreed to receive a surgical treatment. Results: During the operation, we found a mass in the right posterior lobe of the liver and a hard nodule on the right side of the diaphragm, both were completely resected, and postoperative histopathologic examination revealed that all excised tissues were proved to have histological structure typical for the spleen. Conclusions: The occurrence of intrahepatic splenosis is rare with only few cases previously reported in the literature. It is a benign disease and sometimes difficult to distinguish from diseases of the liver. The need for positive surgical resection of splenosis is still controversial. |
| Databáze: | OpenAIRE |
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