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Epidermoid splenic cysts

M E Ross, R Elwood, S S Yang

    Archives of Surgery (Chicago, Ill. : 1960)
    |May 1, 1977
    PubMed
    Summary
    This summary is machine-generated.

    Splenectomy effectively treats rare epidermoid cysts of the spleen in young women presenting with abdominal symptoms. This surgical approach provides complete symptom relief and remains the preferred treatment for these benign splenic masses.

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    Area of Science:

    • Gastroenterology and Hepatology
    • Surgical Oncology
    • Diagnostic Imaging

    Background:

    • Epidermoid cysts are rare, benign, nonparasitic splenic cysts, accounting for 10% of such cases.
    • Diagnosis of splenic masses can be challenging, often requiring a combination of imaging modalities.
    • Splenectomy is a potential treatment for symptomatic splenic pathologies.

    Observation:

    • Five young women presented with vague abdominal discomfort and a palpable left upper quadrant mass.
    • Routine radiologic examinations, including chest X-ray, upper GI series, barium enema, and excretory urogram, suggested the diagnosis.
    • Gray-scale ultrasonography and selective splenic arteriography confirmed the diagnosis in individual cases.

    Findings:

    • Splenectomy was performed on all five patients for epidermoid cysts of the spleen.

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  • Hematologic indices were unremarkable in all patients prior to surgery.
  • All patients experienced complete relief of abdominal symptoms following splenectomy.

    • Implications:

    • Splenectomy is confirmed as the treatment of choice for symptomatic epidermoid cysts of the spleen.
    • Early diagnosis through comprehensive radiologic assessment is crucial for effective management.
    • Understanding the rarity and presentation of these cysts aids in clinical decision-making for splenic masses.