Rapidly growing sclerosing angiomatoid nodular transformation of the spleen

被引:4
作者
Sohail, Amir Humza [1 ]
Eze, Anthony [2 ]
Sohail, Sachal [3 ]
Hadi, Yousaf Bashir [4 ]
Haider, Zishan [5 ]
Maurer, James [1 ]
机构
[1] NYU Langone Hlth Long Isl, Dept Surg, 259 1st St, Mineola, NY 11501 USA
[2] Harvard Univ, Harvard TH Chan Sch Publ Hlth, Cambridge, MA 02138 USA
[3] King Edward Med Univ, Lahore, Pakistan
[4] West Virginia Univ, Dept Med, Sect Gastroenterol & Hepatol, Morgantown, WV 26506 USA
[5] King Abdul Aziz Med City, Natl Guard Hosp, Riyadh, Saudi Arabia
关键词
rapidly expanding splenic tumor; spleen; sclerosing angiomtaoid nodular transformation; SANT; benign splenic tumor; SANT;
D O I
10.1093/jscr/rjab323
中图分类号
R61 [外科手术学];
学科分类号
摘要
Sclerosing angiomatoid nodular transformation (SANT) of the spleen is a rare benign vascular lesion with unknown pathogenesis and no definitive pathognomonic radiological features. The majority of patients with SANT are asymptomatic, and the lesion is an incidental finding on cross-sectional imaging performed for unrelated reasons or during intra-abdominal surgery. However, in the symptomatic minority, abdominal pain is the most commonly reported symptom. SANT generally remains stable or has very slow growth, making it amenable to surveillance using serial cross-sectional imaging. Herein, we report the unusual case of SANT in a 30-year-old female with rapid growth from 6.0 x 5.6 x 4.4 cm to 8.0 x 6.6 x 7.2 cm over 21 months. Given the rapid growth, it was imperative to rule out malignancy. Thus, the patient underwent a laparoscopic total splenectomy. For SANT, splenectomy serves the dual purpose of diagnosis and definitive therapy.
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页数:3
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