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Gastrointestinal
Diagnosis
Spleen
Benign Neoplasms
Primary Splenic Tumors
Primary Splenic Tumors
Siva P. Raman, MD
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KEY FACTS

  • Imaging

    • Clinical Issues

      TERMINOLOGY

      • Definitions

        • Benign or malignant tumors originating in spleen

      IMAGING

      • Key Concepts

        • General Features

          • CT Findings

            • MR Findings

              • Ultrasonographic Findings

                • Angiographic Findings

                  • Nuclear Medicine Findings

                    • Imaging Recommendations

                      DIFFERENTIAL DIAGNOSIS

                        CLINICAL ISSUES

                        • Presentation

                          • Natural History & Prognosis

                            • Treatment

                              DIAGNOSTIC CHECKLIST

                              • Consider

                                • Image Interpretation Pearls

                                  Selected References

                                  1. Boehnke MW et al: Imaging features of pathologically proven pediatric splenic masses. Pediatr Radiol.50(9):1284-92, 2020
                                  2. Lyu S et al: Huge littoral cell angioma of the spleen: a case report. J Nippon Med Sch. 86(3):179-82, 2019
                                  3. Vigorito R et al: Sclerosing angiomatoid nodular transformation (SANT) of the spleen: a case report on CT and MRI. BJR Case Rep. 5(2):20180036, 2019
                                  4. Thipphavong S et al: Nonneoplastic, benign, and malignant splenic diseases: cross-sectional imaging findings and rare disease entities. AJR Am J Roentgenol. 203(2):315-22, 2014
                                  5. Raman SP et al: Sclerosing angiomatoid nodular transformation of the spleen (SANT): multimodality imaging appearance of five cases with radiology-pathology correlation. Abdom Imaging. 38(4):827-34, 2013
                                  6. Zhang YH et al: Littoral cell angioma of the spleen: sonographic-pathologic comparison. J Ultrasound Med. 32(4):691-7, 2013
                                  7. Abe T et al: FDG PET/CT findings of splenic angiosarcoma. Clin Nucl Med. 34(2):82-3, 2009
                                  8. Chua SC et al: Imaging features of primary extranodal lymphomas. Clin Radiol. 64(6):574-88, 2009
                                  9. de Jong PA et al: CT and 18F-FDG PET for noninvasive detection of splenic involvement in patients with malignant lymphoma. AJR Am J Roentgenol. 192(3):745-53, 2009
                                  10. Deyrup AT et al: Angiosarcomas arising in the viscera and soft tissue of children and young adults: a clinicopathologic study of 15 cases. Am J Surg Pathol. 33(2):264-9, 2009
                                  11. Ertan G et al: Pediatric littoral cell angioma of the spleen: multimodality imaging including diffusion-weighted imaging. Pediatr Radiol. 39(10):1105-9, 2009
                                  12. Howard MT et al: Follicular lymphoma of the spleen: multiparameter analysis of 16 cases. Am J Clin Pathol. 131(5):656-62, 2009
                                  13. Iwashita T et al: Endoscopic ultrasound-guided fine needle aspiration biopsy for splenic tumor: a case series. Endoscopy. 41(2):179-82, 2009
                                  14. Lai SW et al: Hepatocellular carcinoma presenting as huge splenic mass. Ann Acad Med Singapore. 38(2):174, 2009
                                  15. Lee H et al: Hamartoma of the spleen. Arch Pathol Lab Med. 133(1):147-51, 2009
                                  16. Picardi M et al: Contrast-enhanced harmonic compound US of the spleen to increase staging accuracy in patients with Hodgkin lymphoma: a prospective study. Radiology. 251(2):574-82, 2009
                                  17. von Herbay A et al: Contrast-enhanced ultrasonography with SonoVue: differentiation between benign and malignant lesions of the spleen. J Ultrasound Med. 28(4):421-34, 2009
                                  18. Abo D et al: Splenic peliosis mimicking a solid tumor: findings in multimodalities. J Comput Assist Tomogr. 32(6):890-2, 2008
                                  19. Alloni R et al: Solitary splenic metastasis of ovarian carcinoma: report of two cases. Surg Today. 38(12):1144-7, 2008
                                  20. Bhatt S et al: Radiologic-pathologic conferences of the university of Rochester School of Medicine: inflammatory pseudotumor of the spleen. AJR Am J Roentgenol. 191(5):1477-9, 2008
                                  21. Ghuliani D et al: Giant cavernous haemangioma of the spleen presenting as massive splenomegaly and treated by partial splenectomy. Singapore Med J. 49(12):e356-8, 2008
                                  22. Hsu CW et al: Splenic inflammatory pseudotumor mimicking angiosarcoma. World J Gastroenterol. 14(41):6421-4, 2008
                                  23. Jain P et al: Laparoscopic partial splenectomy for splenic epidermoid cyst. J Laparoendosc Adv Surg Tech A. 18(6):899-902, 2008
                                  24. Koutelidakis IM et al: Spleen rupture due to primary angiosarcoma: a case report. J Gastrointest Cancer. 38(2-4):74-7, 2007
                                  25. Abbott RM et al: From the archives of the AFIP: primary vascular neoplasms of the spleen: radiologic-pathologic correlation. Radiographics. 24(4):1137-63, 2004
                                  26. Levy AD et al: Littoral cell angioma of the spleen: CT features with clinicopathologic comparison. Radiology. 230(2):485-90, 2004
                                  27. Urban BA et al: Helical CT of the spleen. AJR Am J Roentgenol. 170(4):997-1003, 1998
                                  28. Rabushka LS et al: Imaging of the spleen: CT with supplemental MR examination. Radiographics. 14(2):307-32, 1994
                                  Related Anatomy
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                                  Related Differential Diagnoses
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                                  References
                                  Tables

                                  Tables

                                  KEY FACTS

                                  • Imaging

                                    • Clinical Issues

                                      TERMINOLOGY

                                      • Definitions

                                        • Benign or malignant tumors originating in spleen

                                      IMAGING

                                      • Key Concepts

                                        • General Features

                                          • CT Findings

                                            • MR Findings

                                              • Ultrasonographic Findings

                                                • Angiographic Findings

                                                  • Nuclear Medicine Findings

                                                    • Imaging Recommendations

                                                      DIFFERENTIAL DIAGNOSIS

                                                        CLINICAL ISSUES

                                                        • Presentation

                                                          • Natural History & Prognosis

                                                            • Treatment

                                                              DIAGNOSTIC CHECKLIST

                                                              • Consider

                                                                • Image Interpretation Pearls

                                                                  Selected References

                                                                  1. Boehnke MW et al: Imaging features of pathologically proven pediatric splenic masses. Pediatr Radiol.50(9):1284-92, 2020
                                                                  2. Lyu S et al: Huge littoral cell angioma of the spleen: a case report. J Nippon Med Sch. 86(3):179-82, 2019
                                                                  3. Vigorito R et al: Sclerosing angiomatoid nodular transformation (SANT) of the spleen: a case report on CT and MRI. BJR Case Rep. 5(2):20180036, 2019
                                                                  4. Thipphavong S et al: Nonneoplastic, benign, and malignant splenic diseases: cross-sectional imaging findings and rare disease entities. AJR Am J Roentgenol. 203(2):315-22, 2014
                                                                  5. Raman SP et al: Sclerosing angiomatoid nodular transformation of the spleen (SANT): multimodality imaging appearance of five cases with radiology-pathology correlation. Abdom Imaging. 38(4):827-34, 2013
                                                                  6. Zhang YH et al: Littoral cell angioma of the spleen: sonographic-pathologic comparison. J Ultrasound Med. 32(4):691-7, 2013
                                                                  7. Abe T et al: FDG PET/CT findings of splenic angiosarcoma. Clin Nucl Med. 34(2):82-3, 2009
                                                                  8. Chua SC et al: Imaging features of primary extranodal lymphomas. Clin Radiol. 64(6):574-88, 2009
                                                                  9. de Jong PA et al: CT and 18F-FDG PET for noninvasive detection of splenic involvement in patients with malignant lymphoma. AJR Am J Roentgenol. 192(3):745-53, 2009
                                                                  10. Deyrup AT et al: Angiosarcomas arising in the viscera and soft tissue of children and young adults: a clinicopathologic study of 15 cases. Am J Surg Pathol. 33(2):264-9, 2009
                                                                  11. Ertan G et al: Pediatric littoral cell angioma of the spleen: multimodality imaging including diffusion-weighted imaging. Pediatr Radiol. 39(10):1105-9, 2009
                                                                  12. Howard MT et al: Follicular lymphoma of the spleen: multiparameter analysis of 16 cases. Am J Clin Pathol. 131(5):656-62, 2009
                                                                  13. Iwashita T et al: Endoscopic ultrasound-guided fine needle aspiration biopsy for splenic tumor: a case series. Endoscopy. 41(2):179-82, 2009
                                                                  14. Lai SW et al: Hepatocellular carcinoma presenting as huge splenic mass. Ann Acad Med Singapore. 38(2):174, 2009
                                                                  15. Lee H et al: Hamartoma of the spleen. Arch Pathol Lab Med. 133(1):147-51, 2009
                                                                  16. Picardi M et al: Contrast-enhanced harmonic compound US of the spleen to increase staging accuracy in patients with Hodgkin lymphoma: a prospective study. Radiology. 251(2):574-82, 2009
                                                                  17. von Herbay A et al: Contrast-enhanced ultrasonography with SonoVue: differentiation between benign and malignant lesions of the spleen. J Ultrasound Med. 28(4):421-34, 2009
                                                                  18. Abo D et al: Splenic peliosis mimicking a solid tumor: findings in multimodalities. J Comput Assist Tomogr. 32(6):890-2, 2008
                                                                  19. Alloni R et al: Solitary splenic metastasis of ovarian carcinoma: report of two cases. Surg Today. 38(12):1144-7, 2008
                                                                  20. Bhatt S et al: Radiologic-pathologic conferences of the university of Rochester School of Medicine: inflammatory pseudotumor of the spleen. AJR Am J Roentgenol. 191(5):1477-9, 2008
                                                                  21. Ghuliani D et al: Giant cavernous haemangioma of the spleen presenting as massive splenomegaly and treated by partial splenectomy. Singapore Med J. 49(12):e356-8, 2008
                                                                  22. Hsu CW et al: Splenic inflammatory pseudotumor mimicking angiosarcoma. World J Gastroenterol. 14(41):6421-4, 2008
                                                                  23. Jain P et al: Laparoscopic partial splenectomy for splenic epidermoid cyst. J Laparoendosc Adv Surg Tech A. 18(6):899-902, 2008
                                                                  24. Koutelidakis IM et al: Spleen rupture due to primary angiosarcoma: a case report. J Gastrointest Cancer. 38(2-4):74-7, 2007
                                                                  25. Abbott RM et al: From the archives of the AFIP: primary vascular neoplasms of the spleen: radiologic-pathologic correlation. Radiographics. 24(4):1137-63, 2004
                                                                  26. Levy AD et al: Littoral cell angioma of the spleen: CT features with clinicopathologic comparison. Radiology. 230(2):485-90, 2004
                                                                  27. Urban BA et al: Helical CT of the spleen. AJR Am J Roentgenol. 170(4):997-1003, 1998
                                                                  28. Rabushka LS et al: Imaging of the spleen: CT with supplemental MR examination. Radiographics. 14(2):307-32, 1994