Multi-modality imaging findings of splenic hamartoma: a report of nine cases and review of the literature

Abstract

Combination of a variety of imaging modalities could more fully reflect the pathological characteristics and contribute to the diagnosis of SH.

A Rare Benign Tumor-Splenic Vein Hamartoma

“…[2] However, some huge lesions may display clinical signs such as splenomegaly, palpable mass, spontaneous rupture, anemia, thrombocytopenia and digestive symptoms. [5] It may occur at any age group without showing any difference in gender, but huge lesions are mostly seen in females, probably due to hormonal effects. [1] Tumor size ranges from a few millimeters to 20 cm.…”

Splenic hamartoma is a rare cause of abdominal pain: Case report and literature review

“…On CT, SHs appeared as isodense or hypodense solid masses, and cystic and calcified areas in splenic lesions were found to be characteristic for the SHs. On MRI, it was isointense on T1-weighted images and was heterogeneously hyperintense on T2-weighted images (6).…”

“…The main complaints of these patients are abdominal pain and digestion problems. In physical examination, spleen can be palpated below the costal margin or splenic mass can be palpated (5,6). Splenic rupture caused by hamartomas has been reported only in a few patients in the literature (7).…”

“…Recently, Wang et al (6) reviewed the features of the SH in US, colored Doppler US, CT, and magnetic resonance imaging (MRI) for radiological diagnosis. According to this study, SHs were generally detected as a hypoechoic solid mass in US, and they showed an inc-reased blood flow due to hypervascularity in Doppler US.…”

“…In addition, in radiological differential diagnosis, inflammatory myofibroblast tumors; lymphoma; the rare splenic metastasis of malignant melanoma; and breast, lung and colorectal cancers should be considered (5,6).…”