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Updated: Jul 19, 2026
02:09
Application of Laparoscopic Partial Splenectomy with Total Blood Flow Occlusion in Benign Splenic Lesions
Published on: December 20, 2024
Solitary splenic lesions.
David M Warshauer1, H Lee Hall
1Department of Radiology, University of North Carolina School of Medicine, Chapel Hill, North Carolina 27599-7510, USA. david_warshauer@med.unc.edu
Seminars in Ultrasound, CT, and MR
|October 20, 2006
Summary
Solitary splenic lesions are uncommon and can be cystic or solid. Imaging features and clinical history help differentiate these rare spleen conditions, with biopsy aiding diagnosis when needed.
Area of Science:
- Radiology
- Pathology
- Oncology
Background:
- Solitary splenic lesions are rare findings in clinical practice.
- A systematic approach to diagnosis is necessary due to the diverse nature of these lesions.
- Imaging plays a crucial role in initial characterization.
Purpose of the Study:
- To outline a diagnostic strategy for solitary splenic lesions.
- To differentiate between cystic and solid splenic masses.
- To highlight key imaging features and clinical factors for diagnosis.
Main Methods:
- Review of imaging characteristics (cystic vs. solid, vascular enhancement, Tc-99m sulfur colloid scan).
- Correlation with clinical history.
- Consideration of percutaneous biopsy for definitive diagnosis.
Main Results:
- Lesions are categorized as predominantly cystic or solid based on imaging.
- Cystic lesions include pseudocysts, congenital cysts, lymphangiomas, and cystic metastases.
- Solid lesions encompass non-neoplastic (hamartoma), benign (hemangioma), and malignant (lymphoma, angiosarcoma) entities.
Conclusions:
- Imaging features, combined with clinical context, are essential for narrowing the differential diagnosis of solitary splenic lesions.
- A structured approach aids in distinguishing benign from malignant splenic masses.
- Percutaneous biopsy remains a valuable tool for histological confirmation when indicated.
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