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Christian D Vyrdal1, Luit Penninga2

  • 1Gastroenheden, Kirurgisk Sektion, Københavns Universitetshospital - Hvidovre Hospital.

Ugeskrift for Laeger
|June 2, 2023
PubMed
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Littoral cell angioma, a benign splenic vascular tumor, rarely becomes malignant but has a high risk of co-occurring cancers. This case highlights surgical resection for simultaneous colon adenocarcinoma and gastrointestinal stromal tumors.

Area of Science:

  • Surgical Oncology
  • Gastroenterology
  • Pathology

Background:

  • Littoral cell angioma (LCA) is a rare, benign vascular tumor of the spleen.
  • LCA has a significant association with other primary malignancies.
  • Early detection of concomitant cancers is crucial for patient management.

Observation:

  • A 73-year-old female presented with a diagnosed littoral cell angioma.
  • Simultaneously, she was found to have adenocarcinoma of the colon and a gastrointestinal stromal tumor (GIST).

Findings:

  • The patient underwent a successful simultaneous surgical resection.
  • Procedures included splenectomy for LCA, colonic resection for adenocarcinoma, and gastric resection for GIST.

Implications:

Related Experiment Videos

  • This case underscores the importance of thorough oncological screening in patients diagnosed with littoral cell angioma.
  • Multivisceral resection can be effectively performed in a single setting for synchronous malignancies.
  • Management strategies for LCA should consider the potential for associated cancers.