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Splenic Primary Solid Tumors : Does a Preoperative Histopathology Diagnosis Really Matter?
Mauricio Gonzalez-Urquijo1,2, Mario Rodarte-Shade1,2, Gerardo Gil-Galindo1,2
1Tecnologico de Monterrey, Escuela de Medicina y Ciencias de la Salud, Monterrey, México.
The American Surgeon
|September 16, 2020
Summary
Splenectomy is recommended for primary splenic tumors without preoperative biopsy. This case series highlights its effectiveness and safety, avoiding potential complications from needle aspiration.
Area of Science:
- Surgical Oncology
- Gastroenterology
- Pathology
Background:
- Focuses on primary solid splenic tumors.
- Examines cases managed without preoperative histopathologic diagnosis.
- Highlights the role of splenectomy in diagnosis and treatment.
Purpose of the Study:
- To present a case series of splenectomies for primary splenic tumors.
- To evaluate the outcomes of splenectomy without preoperative biopsy.
- To establish splenectomy as a primary treatment modality.
Main Methods:
- Retrospective review of 12 patients undergoing splenectomy for splenic tumors (2013-2019).
- Analysis of surgical approaches: conventional, hand-assisted laparoscopic, and laparoscopic.
- Data collection on operative time, blood loss, morbidity, and mortality.
Main Results:
- Splenectomy was performed on 12 patients (58.3% female, median age 48).
- Various surgical approaches were utilized with low morbidity (16.6%) and 0% mortality.
- Histopathologic diagnoses included lymphoma, lymphangioma, hamartoma, angiosarcoma, and SANT.
Conclusions:
- Splenectomy is the preferred treatment for primary splenic tumors when preoperative diagnosis is unavailable.
- This approach avoids complications associated with fine-needle aspiration biopsy.
- The study supports splenectomy as a safe and effective management strategy.
