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Related Experiment Videos

Primary splenic lymphoma presenting as a large cyst

A Nakashima1, K Nakashima, H Seto

  • 1Department of Radiological Sciences, Faculty of Medicine, Toyama Medical and Pharmaceutical University, Japan.

Radiation Medicine
|January 1, 1994
PubMed
Summary

An 80-year-old man with a ruptured splenic cyst was diagnosed with malignant lymphoma. Emergency surgery confirmed the diagnosis, with no signs of recurrence four months post-operation.

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Area of Science:

  • Oncology
  • Pathology
  • Surgical Case Reports

Background:

  • Splenic lymphoma is a rare hematologic malignancy.
  • Cystic presentations of splenic lymphoma are atypical and challenging to diagnose.
  • Traumatic rupture of splenic lesions can complicate clinical presentation.

Observation:

  • An 80-year-old male presented with a large cystic mass in the splenic area.
  • The patient experienced a traumatic event (traffic accident) leading to cyst rupture.
  • Emergency splenectomy was performed due to the ruptured cystic lesion.

Findings:

  • Histological examination of the spleen confirmed malignant lymphoma.
  • The resected spleen was the only identified site of the lymphoma.
  • Post-operative follow-up at four months showed no evidence of tumor recurrence.

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Implications:

  • This case highlights the importance of considering rare differentials in splenic masses, even with cystic features.
  • Prompt surgical intervention is crucial for managing ruptured splenic lesions, especially when malignancy is suspected.
  • Atypical presentations of splenic lymphoma can be successfully treated with splenectomy, offering a favorable prognosis in select cases.