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Imaging features of splenic epidermoid cyst with pathologic correlation
A Shirkhoda1, J Freeman, A R Armin
1Department of Diagnostic Radiology, William Beaumont Hospital, Royal Oak, MI 48073, USA.
Abdominal Imaging
|September 1, 1995
Summary
Epidermoid splenic cysts are rare developmental cysts of the spleen. This study presents two pediatric cases, detailing their imaging features on ultrasound, CT, and MRI, correlated with pathology.
Area of Science:
- Radiology
- Pathology
- Surgical Oncology
Background:
- The spleen can manifest various cystic lesions, including neoplasms, parasitic cysts, and true/false cysts.
- Epidermoid splenic cysts are uncommon, developmental "true" cysts originating from ectopic skin elements.
- Accurate diagnosis of splenic cysts is crucial for appropriate management.
Observation:
- Two pediatric patients presented with symptomatic splenic masses.
- Imaging studies including ultrasound, computed tomography (CT), and magnetic resonance imaging (MRI) were performed.
- The characteristic imaging findings of epidermoid splenic cysts were identified.
Findings:
- Pathologic examination confirmed the diagnosis of epidermoid splenic cyst in both cases.
- Imaging findings correlated well with the histopathological diagnosis.
- The developmental origin and benign nature of these cysts were highlighted.
Implications:
- This case series expands the understanding of rare splenic cystic lesions.
- Familiarity with the imaging features of epidermoid splenic cysts aids in accurate diagnosis.
- Distinguishing these from neoplastic or other cystic lesions is vital for surgical planning and patient outcomes.