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Thoracic Splenosis
Allen Heeger, DO
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            • Diagnostic Checklist

              TERMINOLOGY

              • Definitions

                • Autotransplantation of splenic tissue following traumatic or surgical disruption of spleen

              IMAGING

              • General Features

                • Radiographic Findings

                  • CT Findings

                    • Nuclear Medicine Findings

                      • MR Findings

                        DIFFERENTIAL DIAGNOSIS

                          PATHOLOGY

                          • General Features

                            • Gross Pathologic & Surgical Features

                              CLINICAL ISSUES

                              • Presentation

                                • Demographics

                                  • Natural History & Prognosis

                                    • Treatment

                                      DIAGNOSTIC CHECKLIST

                                      • Consider

                                        • Image Interpretation Pearls

                                          • Reporting Tips

                                            Selected References

                                            1. Sharma R et al: Routes of transdiaphragmatic migration from the abdomen to the chest. Radiographics. 40(5):1205-18, 2020
                                            2. Niu Y et al: Thoracic splenosis presenting as pulmonary space-occupying lesion. BMC Surg. 18(1):119, 2018
                                            3. Remtulla M et al: Thoracic splenosis masquerading as advanced lung cancer. Thorax. 72(2):189-90, 2017
                                            4. Bhalani VV et al: Thoracic splenosis: noninvasive diagnosis using Technetium-99 sulfur colloid. Conn Med. 76(10):585-7, 2012
                                            5. Lake ST et al: CT of splenosis: patterns and pitfalls. AJR Am J Roentgenol. 199(6):W686-93, 2012
                                            6. Alaraj AM et al: Thoracic splenosis mimicking thoracic schwannoma: case report and review of the literature. Surg Neurol. 64(2):185-8; discussion 88, 2005
                                            7. Khosravi MR et al: Consider the diagnosis of splenosis for soft tissue masses long after any splenic injury. Am Surg. 70(11):967-70, 2004
                                            8. Young JT et al: Splenosis: a remote consequence of traumatic splenectomy. J Am Coll Surg. 199(3):500-1, 2004
                                            9. Bizekis CS et al: Thoracic splenosis: mimicry of a neurogenic tumor. J Thorac Cardiovasc Surg. 125(5):1155-6, 2003
                                            10. Horger M et al: Improved detection of splenosis in patients with haematological disorders: the role of combined transmission-emission tomography. Eur J Nucl Med Mol Imaging. 30(2):316-9, 2003
                                            11. Yammine JN et al: Radionuclide imaging in thoracic splenosis and a review of the literature. Clin Nucl Med. 28(2):121-3, 2003
                                            12. Pekkafali Z et al: Intrahepatic splenosis: a case report. Eur Radiol. 12 Suppl 3(S62-5, 2002
                                            13. Castellani M et al: Tc-99m sulphur colloid scintigraphy in the assessment of residual splenic tissue after splenectomy. Clin Radiol. 56(7):596-8, 2001
                                            14. Hagman TF et al: Intrathoracic splenosis: superiority of technetium Tc 99m heat-damaged RBC imaging. Chest. 120(6):2097-8, 2001
                                            15. Sarda R et al: Pulmonary parenchymal splenosis. Diagn Cytopathol. 24(5):352-5, 2001
                                            16. Syed S et al: Thoracic splenosis diagnosed by fine-needle aspiration cytology: a case report. Diagn Cytopathol. 25(5):321-4, 2001
                                            17. Fidvi SA et al: Posttraumatic thoracic splenosis and chronic aortic pseudoaneurysm. J Thorac Imaging. 14(4):300-2, 1999
                                            18. Naylor MF et al: Noninvasive methods of diagnosing thoracic splenosis. Ann Thorac Surg. 68(1):243-4, 1999
                                            19. O'Connor JV et al: Thoracic splenosis. Ann Thorac Surg. 66(2):552-3, 1998
                                            20. Tsunezuka Y et al: Thoracic splenosis; from a thoracoscopic viewpoint. Eur J Cardiothorac Surg. 13(1):104-6, 1998
                                            21. Bordlee RP et al: Thoracic splenosis: MR demonstration. J Thorac Imaging. 10(2):146-9, 1995
                                            22. Madjar S et al: Thoracic splenosis. Thorax. 49(10):1020-2, 1994
                                            23. Normand JP et al: Thoracic splenosis after blunt trauma: frequency and imaging findings. AJR Am J Roentgenol. 161(4):739-41, 1993
                                            24. Carr NJ et al: The histological features of splenosis. Histopathology. 21(6):549-53, 1992
                                            25. Roucos S et al: Thoracic splenosis. Case report and literature review. J Thorac Cardiovasc Surg. 99(2):361-3, 1990
                                            Related Anatomy
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                                            Related Differential Diagnoses
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                                            References
                                            Tables

                                            Tables

                                            KEY FACTS

                                            • Terminology

                                              • Imaging

                                                • Top Differential Diagnoses

                                                  • Pathology

                                                    • Clinical Issues

                                                      • Diagnostic Checklist

                                                        TERMINOLOGY

                                                        • Definitions

                                                          • Autotransplantation of splenic tissue following traumatic or surgical disruption of spleen

                                                        IMAGING

                                                        • General Features

                                                          • Radiographic Findings

                                                            • CT Findings

                                                              • Nuclear Medicine Findings

                                                                • MR Findings

                                                                  DIFFERENTIAL DIAGNOSIS

                                                                    PATHOLOGY

                                                                    • General Features

                                                                      • Gross Pathologic & Surgical Features

                                                                        CLINICAL ISSUES

                                                                        • Presentation

                                                                          • Demographics

                                                                            • Natural History & Prognosis

                                                                              • Treatment

                                                                                DIAGNOSTIC CHECKLIST

                                                                                • Consider

                                                                                  • Image Interpretation Pearls

                                                                                    • Reporting Tips

                                                                                      Selected References

                                                                                      1. Sharma R et al: Routes of transdiaphragmatic migration from the abdomen to the chest. Radiographics. 40(5):1205-18, 2020
                                                                                      2. Niu Y et al: Thoracic splenosis presenting as pulmonary space-occupying lesion. BMC Surg. 18(1):119, 2018
                                                                                      3. Remtulla M et al: Thoracic splenosis masquerading as advanced lung cancer. Thorax. 72(2):189-90, 2017
                                                                                      4. Bhalani VV et al: Thoracic splenosis: noninvasive diagnosis using Technetium-99 sulfur colloid. Conn Med. 76(10):585-7, 2012
                                                                                      5. Lake ST et al: CT of splenosis: patterns and pitfalls. AJR Am J Roentgenol. 199(6):W686-93, 2012
                                                                                      6. Alaraj AM et al: Thoracic splenosis mimicking thoracic schwannoma: case report and review of the literature. Surg Neurol. 64(2):185-8; discussion 88, 2005
                                                                                      7. Khosravi MR et al: Consider the diagnosis of splenosis for soft tissue masses long after any splenic injury. Am Surg. 70(11):967-70, 2004
                                                                                      8. Young JT et al: Splenosis: a remote consequence of traumatic splenectomy. J Am Coll Surg. 199(3):500-1, 2004
                                                                                      9. Bizekis CS et al: Thoracic splenosis: mimicry of a neurogenic tumor. J Thorac Cardiovasc Surg. 125(5):1155-6, 2003
                                                                                      10. Horger M et al: Improved detection of splenosis in patients with haematological disorders: the role of combined transmission-emission tomography. Eur J Nucl Med Mol Imaging. 30(2):316-9, 2003
                                                                                      11. Yammine JN et al: Radionuclide imaging in thoracic splenosis and a review of the literature. Clin Nucl Med. 28(2):121-3, 2003
                                                                                      12. Pekkafali Z et al: Intrahepatic splenosis: a case report. Eur Radiol. 12 Suppl 3(S62-5, 2002
                                                                                      13. Castellani M et al: Tc-99m sulphur colloid scintigraphy in the assessment of residual splenic tissue after splenectomy. Clin Radiol. 56(7):596-8, 2001
                                                                                      14. Hagman TF et al: Intrathoracic splenosis: superiority of technetium Tc 99m heat-damaged RBC imaging. Chest. 120(6):2097-8, 2001
                                                                                      15. Sarda R et al: Pulmonary parenchymal splenosis. Diagn Cytopathol. 24(5):352-5, 2001
                                                                                      16. Syed S et al: Thoracic splenosis diagnosed by fine-needle aspiration cytology: a case report. Diagn Cytopathol. 25(5):321-4, 2001
                                                                                      17. Fidvi SA et al: Posttraumatic thoracic splenosis and chronic aortic pseudoaneurysm. J Thorac Imaging. 14(4):300-2, 1999
                                                                                      18. Naylor MF et al: Noninvasive methods of diagnosing thoracic splenosis. Ann Thorac Surg. 68(1):243-4, 1999
                                                                                      19. O'Connor JV et al: Thoracic splenosis. Ann Thorac Surg. 66(2):552-3, 1998
                                                                                      20. Tsunezuka Y et al: Thoracic splenosis; from a thoracoscopic viewpoint. Eur J Cardiothorac Surg. 13(1):104-6, 1998
                                                                                      21. Bordlee RP et al: Thoracic splenosis: MR demonstration. J Thorac Imaging. 10(2):146-9, 1995
                                                                                      22. Madjar S et al: Thoracic splenosis. Thorax. 49(10):1020-2, 1994
                                                                                      23. Normand JP et al: Thoracic splenosis after blunt trauma: frequency and imaging findings. AJR Am J Roentgenol. 161(4):739-41, 1993
                                                                                      24. Carr NJ et al: The histological features of splenosis. Histopathology. 21(6):549-53, 1992
                                                                                      25. Roucos S et al: Thoracic splenosis. Case report and literature review. J Thorac Cardiovasc Surg. 99(2):361-3, 1990