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Splenic hamartomas in two children.

Li-Feng Zhang, Jin-Fa Tou, Xiang Wang

  • 1Department of General Surgery, Children Hospital, Zhejiang University School of Medicine, Hangzhou 310006, China. qinqi771@163.com.

World Journal of Surgical Oncology
|June 8, 2014
PubMed
Summary

Pediatric splenic hamartomas, rare benign tumors, can cause abdominal pain. Diagnosis requires imaging and histology, with successful surgical removal leading to uneventful recovery.

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Area of Science:

  • Pediatric Surgery
  • Pediatric Radiology
  • Pediatric Pathology

Background:

  • Splenic hamartomas are rare benign neoplasms of the spleen.
  • They are exceptionally uncommon in pediatric patients.

Observation:

  • Two pediatric cases (boys aged 6 and 8) presented with left upper quadrant abdominal pain.
  • Preoperative imaging included ultrasonography, magnetic resonance imaging (MRI), and contrasted computed tomography (CT) scans, revealing splenic masses.

Findings:

  • Histopathology and immunohistochemistry confirmed the diagnosis of splenic hamartoma in both cases.
  • Both patients underwent total splenectomy with no postoperative complications.

Implications:

  • This case series highlights the importance of considering splenic hamartoma in the differential diagnosis of pediatric splenic masses.

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  • Multi-modality imaging aids in preoperative assessment, but definitive diagnosis relies on histopathological examination.
  • Surgical management, such as splenectomy, offers a favorable outcome for pediatric splenic hamartomas.