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Updated: Sep 29, 2025

Application of Laparoscopic Partial Splenectomy with Total Blood Flow Occlusion in Benign Splenic Lesions

Application of Laparoscopic Partial Splenectomy with Total Blood Flow Occlusion in Benign Splenic Lesions

Published on: December 20, 2024

Algorithmic Approach to the Splenic Lesion Based on Radiologic-Pathologic Correlation.

Nancy Kim¹, Aaron Auerbach¹, Maria A Manning¹

¹From the Department of Radiology, MedStar Georgetown University Hospital, 3800 Reservoir Rd NW, CCC Building Ground Floor, CG 201, Washington, DC 20007 (N.K., M.A.M.); the Joint Pathology Center, Silver Spring, Md (A.A.); and the American Institute for Radiologic Pathology, Silver Spring, Md (M.A.M.).

Radiographics : a Review Publication of the Radiological Society of North America, Inc

|March 18, 2022

Summary

This summary is machine-generated.

Incidental splenic masses require a systematic imaging approach. Evaluating lesion number and consistency, along with imaging features, helps differentiate benign from malignant conditions.

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Area of Science:

Radiology
Pathology
Oncology

Background:

Incidental splenic lesions are common and often asymptomatic.
Diagnosis and management rely heavily on imaging characteristics.
A structured approach to incidental splenic masses is needed.

Purpose of the Study:

To provide a systematic imaging-based approach for diagnosing incidental splenic masses.
To outline a differential diagnosis strategy for splenic lesions.

Main Methods:

Classifying splenic lesions based on number (solitary vs. multiple) and consistency (cystic vs. solid).
Incorporating supplementary imaging features to refine the differential diagnosis.
Reviewing multimodality imaging characteristics of various splenic pathologies.

Main Results:

Solitary cystic lesions include true cysts, pseudocysts, and parasitic cysts.
Multiple cystic lesions suggest infectious causes or lymphangioma.
Common solitary solid masses are hemangiomas, with other vascular and nonvascular lesions also considered.
Multiple solid masses may indicate sarcoidosis, littoral cell angioma, or lymphoma.
Malignancies can present as solitary or multiple, cystic or solid, often with symptoms.

Conclusions:

A systematic, imaging-based approach aids in differentiating splenic lesions.
Assessment of lesion characteristics and supplementary features is crucial for diagnosis.
This strategy assists radiologists in managing incidental splenic masses effectively.