Difficult preoperative diagnosis of a patient with sclerosing splenic hemangioma
We present a young asymptomatic woman with splenomegaly and a large isolated splenic mass demonstrated by ultrasonography, /sup 99m/Tc sulfur colloid, and gallium scintigraphy studies. Computerized tomography (CT) and three-phase 99mTc-labeled red blood cell imaging suggested a malignant lesion. Repeated sonographically guided fine needle aspiration (FNA) obtained only blood, suggesting the possible vascular nature of the tumor. Splenectomy established the diagnosis of splenic hemangioma (SH) with marked sclerotic changes. We conclude from this case that (1) the sclerotic and cystic changes in the SH and the abdominal lymphadenopathy could explain why the three-phase red blood cell and CT scanning, respectively, suggested that the lesion was malignant rather than benign; (2) guided FNA of a splenic mass suspected to be hemangioma may be an additional safe and useful diagnostic procedure. Multiple aspirations yielding blood alone suggest hemangioma and may prevent an unnecessary operation. To the best of our knowledge, this is the first reported case in the literature of FNA of splenic hemangioma.
- Research Organization:
- Technion Faculty of Medicine, Haifa (Israel)
- OSTI ID:
- 5818783
- Journal Information:
- Am. J. Gastroenterol.; (United States), Vol. 84:7
- Country of Publication:
- United States
- Language:
- English
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SCINTISCANNING
SPLENECTOMY
TECHNETIUM 99
ULTRASONOGRAPHY
BETA DECAY RADIOISOTOPES
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550601* - Medicine- Unsealed Radionuclides in Diagnostics
550600 - Medicine