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Splenic Angiosarcoma: A Diagnostic Splenectomy Finding.
Otavio Schmidt de Azevedo1, Bruna do Nascimento Santos2, Nelson de Souza Liboni1
1Hospital Alemão Oswaldo Cruz, São Paulo, Brazil.
Case Reports in Oncology
|December 7, 2016
Summary
Splenic tumors are rare, especially vascular neoplasms. This case report details a patient initially diagnosed with splenic cysts that progressed, ultimately revealing a rare splenic angiosarcoma after splenectomy.
Area of Science:
- Oncology
- Pathology
- Radiology
Background:
- Splenic tumors are infrequent, with vascular neoplasms representing an extremely rare subset.
- Angiosarcoma is a malignant vascular tumor with a low incidence, particularly within the spleen.
Observation:
- A 57-year-old woman presented with splenic cysts initially detected via routine imaging.
- Follow-up imaging revealed enlargement and increased number of these splenic cysts.
Findings:
- Diagnostic splenectomy was performed for further investigation of the splenic lesions.
- Histopathological analysis confirmed the presence of a rare splenic angiosarcoma.
Implications:
- This case highlights the importance of vigilant monitoring for splenic lesions that exhibit changes over time.
- It underscores the diagnostic challenge posed by rare splenic tumors, emphasizing the need for definitive surgical analysis.
- Increased awareness of splenic angiosarcoma is crucial for timely diagnosis and management of rare splenic neoplasms.

