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- Title
Splenic Primary Solid Tumors : Does a Preoperative Histopathology Diagnosis Really Matter?
- Authors
Gonzalez-Urquijo, Mauricio; Rodarte-Shade, Mario; Gil-Galindo, Gerardo
- Abstract
<bold>Background: </bold>The present study aims to present a case series of patients who underwent splenectomy for splenic primary solid tumors without preoperative histopathologic diagnosis.<bold>Methods: </bold>From 2013 to 2019, 12 patients underwent splenectomy for solid primary splenic tumors at 3 different academic medical centers. All electronic medical records were retrospectively reviewed.<bold>Results: </bold>Seven (58.3%) patients were women, and 5 (41.6%) were male. The median age was 48 years (range: 25-72 years). In 8 (66.6%) patients, a conventional approach was performed. In 2 (16.6%), a hand-assisted laparoscopic surgery procedure was completed, and in other 2 (16.6%) patients, a laparoscopic approach was auspiciously achieved. Median operative time was 135 minutes (range: 60-210 minutes), and median blood loss was 500 mL (range: 200-1500 mL). Procedure-related morbidity was found in 2 (16.6%) patients, and the mortality rate was 0%. The final histopathologic diagnosis was lymphoma in 5 (41.6%) patients, lymphangioma in 3 (25%) patients, hamartoma in 2 (16.6%) patients, angiosarcoma, and sclerosing angiomatoid nodular transformation (SANT) in 1 (8.3%) case each.<bold>Conclusion: </bold>Splenectomy should be the treatment of choice when encountering a primary splenic tumor without the need for preoperative fine-needle aspiration biopsy, avoiding the complications this technique entails.
- Subjects
LYMPHANGIOMAS; HAMARTOMA; NEEDLE biopsy; ACADEMIC medical centers; ELECTRONIC health records; LAPAROSCOPIC surgery; HISTOPATHOLOGY; SPLENECTOMY; SPLEEN tumors; RETROSPECTIVE studies; TREATMENT effectiveness
- Publication
American Surgeon, 2021, Vol 87, Issue 2, p316
- ISSN
0003-1348
- Publication type
journal article
- DOI
10.1177/0003134820951480