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[Cysts of the spleen. Spontaneous involution checked by imaging]
C P Raffaelli1, J N Bruneton, T Giudicelli
1Service de Radiologie, Centre Antoine-Lacassagne, Nice.
Journal De Radiologie
|June 1, 1991
Summary
Rare splenic cysts may resolve spontaneously within three years, as observed in two asymptomatic cases. This finding suggests non-surgical management, like imaging follow-up, for non-symptomatic splenic cysts.
Area of Science:
- Medical Imaging
- Surgical Pathology
- Gastroenterology
Background:
- Splenic cysts are uncommon conditions.
- Modern imaging techniques facilitate diagnosis.
- Treatment decisions for splenic cysts are evolving.
Observation:
- Two cases of asymptomatic splenic cysts were observed.
- Spontaneous involution of these cysts occurred within three years.
- Computed tomography (CT) scans were used for monitoring.
Findings:
- The spontaneous involution of splenic cysts over time is a previously undescribed phenomenon.
- Improvements in splenic surgery and risks associated with splenectomy are noted.
- Non-symptomatic cysts may be managed with ultrasound (US) or CT follow-up.
Implications:
- The findings may alter current treatment indications for splenic cysts.
- Partial splenectomy is suggested for clinically symptomatic splenic lesions.
- Non-surgical surveillance is a viable option for select splenic cyst cases.