Thoracic splenosis masquerading as advanced lung cancer

Remtulla, Mohammedabbas; Drury, Nigel E; Kaushal, Nazia; Trotter, Simon; Kalkat, Maninder

doi:10.1136/thoraxjnl-2016-209068

Cited by 10 publications

(12 citation statements)

References 3 publications

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“…Splenosis may masquerade as malignancies, including carcinomatosis [14], liver tumor [15], metastatic right adrenal mass [16], lymphoma [17], and lung cancer [18]. When compounded by risk factors like smoking, an accurate diagnosis of a pleural mass as thoracic splenosis can be difficult [19].…”

Section: Discussionmentioning

confidence: 99%

A case of thoracoabdominal splenosis

Kosydar

Sanchirico

Pfeiffer

2020

Radiology Case Reports

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We describe a case of a 38-year-old male with a remote history of motor vehicle trauma who presented to the emergency department with 1-week history of progressively worsening abdominal pain localized to the epigastric region. Patient history included splenectomy. Computerized tomography demonstrated multiple masses in the left pleural space as well as masses continuous with the diaphragm and abdominal wall in the left upper quadrant. In addition, a lobulated mass was identified in the right upper quadrant along the anterior right hepatic lobe. A diaphragmatic defect was noted containing splenic tissue. A diagnosis of splenosis was made. Disseminated splenosis presenting in both the thorax and abdomen is rare and poorly documented. This case serves to further illuminate this condition.

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Section: Discussionmentioning

confidence: 99%

A case of thoracoabdominal splenosis

Kosydar

Sanchirico

Pfeiffer

2020

Radiology Case Reports

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“…On the other hand, splenic implants are usually multiple and small ( 11 ), with a distorted architecture with no hilum, poorly formed capsules, and variable in shape and size ( 10 ). They receive blood supply from nearby arteries at the site of implantation that can occur in any part of the body: they may be localized in the peritoneum ( 10 – 12 ), in the thorax ( 13 ), in the pelvis ( 14 , 15 ), in the skin ( 16 , 17 ), or even cerebrum ( 18 ). In particular, hepatic splenosis refers to a heterotopic implantation of splenic tissues in the liver.…”

Section: Discussionmentioning

confidence: 99%

Multiple intra-hepatic and abdominal splenosis: an easy call if you know about it

Vergara

Ginolfi

Moscati

et al. 2018

Acta Radiologica Open

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Hepatic splenosis represents the heterotopic implantation of splenic tissue caused by the spillage of cells from the spleen usually after splenectomy or splenic trauma. This condition is usually an incidental finding during surgery and its real incidence is unknown. Splenic implants, which can be placed anywhere in the abdominal cavity, are usually multiple and may be confused with different benign and malignant conditions such as renal tumors, abdominal lymphomas, and endometriosis. We hereby report an unusual case of multiple abdominal splenosis, with a particular intra-hepatic location, that could be misinterpreted as an hepato-cellular carcinoma.

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“…The diagnosis is challenging since there is an average interval between initial trauma and diagnosis of approximately twenty-one years [2] . Pleural-based nodules may be mistaken for an intrathoracic malignancy, prompting needle or Video-assisted thoracic surgery (VATS) biopsy [11] .…”

Section: Discussionmentioning

confidence: 99%

“…Splenosis is a benign condition [11] . The splenic tissue is slow growing, non-invasive [15] and surgical removal of the nodules is generally inadvisable [10] .…”

Section: Discussionmentioning

confidence: 99%

Thoracic splenosis: History is the key

Marrero

Prieto-Centurion

Jaffe

2017

Respiratory Medicine Case Reports

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Splenosis is an acquired ectopic autotransplantation of splenic tissue; that occurs after traumatic splenic rupture and splenectomy [1]. Splenosis is a rare but benign disease, and the diagnosis can be challenging as the multiple incidentally found nodules could mimic malignancy [2].Abdominopelvic Splenosis is thought to occur in as many as 65% of cases of splenic rupture [1]. However, Thoracic Splenosis is rare and usually involve the left parietal and visceral pleura [1,2]. Intraparenchymal lesions are less common but have been reported in cases of parenchymal and diaphragm laceration [1,2].Taking a thorough history is of utmost importance, as these patients usually present more than two decades after the splenic traumatic rupture. The use of commonly available nuclear studies will further confirm the diagnosis [3]. This will help to avoid unnecessary procedures, like biopsies; and prevent the potential complications. We present a case of Thoracic Splenosis that highlights the importance of taking a detailed history; and the importance of using nuclear studies for the diagnosis. Further adding to its uniqueness, this case showed with multiple intraparenchymal nodules which is a less common presentation of Splenosis.

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Thoracic splenosis masquerading as advanced lung cancer

Cited by 10 publications

References 3 publications

A case of thoracoabdominal splenosis

A case of thoracoabdominal splenosis

Multiple intra-hepatic and abdominal splenosis: an easy call if you know about it

Thoracic splenosis: History is the key

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