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Huge splenic epidermoid cyst: a case report

H B Lam1, T P Liu, K S Jeng

  • 1Division of General Surgery, Mackay Memorial Hospital, Taipei, Taiwan, R.O.C.

Zhonghua Yi Xue Za Zhi = Chinese Medical Journal; Free China Ed
|August 1, 1997
PubMed
Summary

A rare splenic epidermoid cyst was found in a young female. Surgical splenectomy was performed, confirming the diagnosis and preventing potential complications like rupture or infection.

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Area of Science:

  • Pathology
  • Radiology
  • Surgical Oncology

Background:

  • Splenic cysts are uncommon, with epidermoid cysts representing a rare subtype.
  • Symptoms often arise from mass effect or compression of adjacent organs.

Observation:

  • A 21-year-old female presented with a large (14x12x8 cm) splenic epidermoid cyst.
  • Imaging revealed a cystic lesion containing serous fluid.
  • Histopathology confirmed an epidermoid cyst lacking skin appendages.

Findings:

  • The cyst had a fibrous wall lined by flattened or low-cuboidal epithelium.
  • Associated splenic tissue showed mild congestive changes.
  • The spleen was successfully removed surgically.

Implications:

  • Splenic epidermoid cysts require surgical management to alleviate symptoms and prevent complications.
  • Early diagnosis through imaging modalities like ultrasonography and CT is crucial.
  • Splenectomy is the recommended treatment for symptomatic or complicated splenic cysts.

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