Nihon Gekakei Rengo Gakkaishi (Journal of Japanese College of Surgeons)
Online ISSN : 1882-9112
Print ISSN : 0385-7883
ISSN-L : 0385-7883
A Case of Laparoscopic Splenectomy for Inflammatory Pseudotumor of the Spleen
Tomoko FukushimaMari NakagawaMizuki TakeuchiDaichi NodaYukio TsushimaRyota Matsuo
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2018 Volume 43 Issue 6 Pages 1136-1142

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Abstract

A 68-year-old woman visited our hospital with left upper abdominal pain. Abdominal computed tomography showed a low-density mass in the spleen. Over a period of six months, the mass grew to 26 mm in diameter and another small lesion emerged next to the mass. FDP-PET also showed high FDG accumulation in the same area. We suspected that the tumors might be malignant and performed laparoscopic splenectomy. The histopathological diagnosis was inflammatory pseudotumor. Laparoscopic splenectomy has great benefits from both the cosmetic and therapeutic aspects. However, close attention should be paid to the handling of splenic tumors during operation, since we sometimes face difficulty in distinguishing between benign splenic tumors and malignant ones.

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© 2018 Japanese College of Surgeons
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