Benign splenosis mimicking peritoneal seeding in a bladder cancer patient: a case report

Rizzo, Stefania; Monfardini, Lorenzo; Belmonte, M. J. Gayán; Rocco, Bernardo; Bellomi, Massimo

doi:10.4076/1757-1626-2-8982

Cited by 7 publications

(5 citation statements)

References 7 publications

(9 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Nowadays, MRI provides one-stop imaging for characterizing both primary abdominal lesions, in our case ovarian masses, and the presence of metastatic spread. Likewise, MR supports the diagnosis of splenosis, showing nodules that are hypointense in T1 and T2-weighted images with enhancement characteristics similar to normal splenic tissue [16]. A few case reports have suggested ferumoxides-enhanced MRI as a novel technique for diagnosing splenosis.…”

Section: Discussionmentioning

confidence: 86%

Splenosis Mimicking Peritoneal Implants in a Female with Ovarian Cystic Masses: A Case Report

Nancy¹,

Amit²,

Alex³

et al. 2018

Obstet Gynecol Cases Rev

View full text Add to dashboard Cite

spread strongly support malignancy.We describe a case of bilateral large ovarian masses accompanied by peritoneal soft tissue implants. Imaging studies revealed predominantly cystic lesions in the ovaries with minimal solid components, lack of ascites and hypervascular enhancement of multiple small peritoneal masses. Given the prior history of splenectomy, suspicion for metastatic ovarian cancer was low, and the suggestion of peritoneal splenosis and bilateral benign ovarian cystic tumors was raised. Intraoperative findings supported this diagnosis and consequently a less radical surgery was performed. Case ReportA 58-year-old woman was referred to our institution for pelvic pain and abdominal distention. Past medical historyHer past medical history was remarkable for splenectomy performed following abdominal trauma in her youth, as well as an explorative laparotomy for chronic pelvic pain and infertility about 30-years-ago. Ovarian cyst aspiration performed at that time contained hemosiderin and erythrocytes but no tumor cells. Current medical historyShe was a smoker but otherwise healthy. The patient complained of worsening pelvic pain and abdominal distension. Laboratory results were normal apart of elevated CA-125 to a level of 331 U/ml. *Corresponding author: Alla Khashper, Medical Imaging Institute, Soroka Medical Center, Ben-Gurion University of the Negev, Beersheba, Israel, E-mail: khashper@yahoo.com AbstractA case of large bilateral cystic ovarian masses is reported. Initial imaging, including ultrasound (US) and computed tomography (CT), showed a large right ovarian cystic tumor, a smaller multicystic left ovarian tumor and multiple solid peritoneal implants suspicious for metastases. Due to a history of remote post-traumatic splenectomy, the presence of bilateral benign ovarian cystic tumors in combination with peritoneal splenosis was considered. Magnetic resonance imaging (MRI) followed by total abdominal hysterectomy, bilateral salpingo-oophorectomy and omentectomy were performed. The final histological diagnosis of the peritoneal implants was splenic tissue consistent with splenosis and the ovarian tumors were ovarian serous cystadenofibromas.

show abstract

Section: Discussionmentioning

confidence: 86%

Splenosis Mimicking Peritoneal Implants in a Female with Ovarian Cystic Masses: A Case Report

Nancy¹,

Amit²,

Alex³

et al. 2018

Obstet Gynecol Cases Rev

View full text Add to dashboard Cite

show abstract

“…There have been a number of case reports where intra-abdominal splenosis or accessory spleens have mimicked metastatic cancer. [ 6 7 8 9 10 ] However, to the best of our knowledge, this to be the first report of a Tc-99m sulfur colloid SPECT/CT study used to exclude splenic tissue.…”

Section: Discussionmentioning

confidence: 95%

Case Report of Tc-99m Sulfur Colloid Single-Photon Emission Computed Tomography/Computed Tomography Study Differentiating Tumor from Accessory Spleen

Aggarwal

Wagner

2013

World J Nucl Med

View full text Add to dashboard Cite

We present a case report where Tc-99m sulfur colloid single-photon emission computed tomography (SPECT)/computed tomography (CT) scan was useful in characterizing a soft tissue abdominal mass and helped with patient management. A 63-year-old male with no previous history of trauma had an incidental finding of a soft tissue nodule adjacent to the splenic hilum, unchanged in size over 4 months and with similar enhancing features as the spleen. A Tc-99m sulfur colloid SPECT/CT scan was performed to determine the nature of the nodule. It showed no uptake of tracer within this mass, therefore excluding splenic tissue. This prompted subsequent investigations and this tissue was found to represent a pancreatic neuroendocrine tumor, which was excised.

show abstract

“…With radiological methods, especially computed tomography, it is often not possible to reliably differentiate between malignant foci and splenosis [ [15] , [16] , [17] , [18] , [19] ]. But also PET-CT, the most current modality in nuclear medicine today could mislead the reporting physician lacking patient history data [ 20 ].…”

Section: Discussionmentioning

confidence: 99%

Benign splenosis mimicking peritoneal seeding in a bladder cancer patient: a case report

Cited by 7 publications

References 7 publications

Splenosis Mimicking Peritoneal Implants in a Female with Ovarian Cystic Masses: A Case Report

Splenosis Mimicking Peritoneal Implants in a Female with Ovarian Cystic Masses: A Case Report

Case Report of Tc-99m Sulfur Colloid Single-Photon Emission Computed Tomography/Computed Tomography Study Differentiating Tumor from Accessory Spleen

Splenic scintigraphy—reloaded: Pulmonary and pleural lesions proven to be splenosis by heat-damaged erythrocyte scintigraphy

Contact Info

Product

Resources

About