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Tytuł:
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Splenic Primary Solid Tumors : Does a Preoperative Histopathology Diagnosis Really Matter?
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Autorzy:
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Gonzalez-Urquijo M; Tecnologico de Monterrey, Escuela de Medicina y Ciencias de la Salud, Monterrey, México.; Hospital Metropolitano 'Dr. Bernando Sepúlveda'. Adolfo López Mateos, San Nicolás de los Garza, México.
Rodarte-Shade M; Tecnologico de Monterrey, Escuela de Medicina y Ciencias de la Salud, Monterrey, México.; Hospital Metropolitano 'Dr. Bernando Sepúlveda'. Adolfo López Mateos, San Nicolás de los Garza, México.
Gil-Galindo G; Tecnologico de Monterrey, Escuela de Medicina y Ciencias de la Salud, Monterrey, México.; Hospital Metropolitano 'Dr. Bernando Sepúlveda'. Adolfo López Mateos, San Nicolás de los Garza, México.
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Źródło:
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The American surgeon [Am Surg] 2021 Feb; Vol. 87 (2), pp. 316-320. Date of Electronic Publication: 2020 Sep 16.
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Typ publikacji:
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Journal Article; Multicenter Study
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Język:
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English
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Imprint Name(s):
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Publication: 2020- : [Thousand Oaks, CA] : SAGE Publications in association with Southeastern Surgical Congress
Original Publication: Atlanta Ga : Southeastern Surgical Congress
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MeSH Terms:
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Splenectomy*/methods
Splenectomy*/statistics & numerical data
Splenic Neoplasms/*diagnosis
Adult ; Aged ; Biopsy, Fine-Needle ; Female ; Humans ; Male ; Middle Aged ; Retrospective Studies ; Splenic Neoplasms/pathology ; Splenic Neoplasms/surgery ; Treatment Outcome
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Contributed Indexing:
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Keywords: primary splenic tumor; solid splenic tumor; spleen; splenectomy
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Entry Date(s):
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Date Created: 20200916 Date Completed: 20210401 Latest Revision: 20210401
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Update Code:
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20240104
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DOI:
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10.1177/0003134820951480
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PMID:
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32936005
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Background: The present study aims to present a case series of patients who underwent splenectomy for splenic primary solid tumors without preoperative histopathologic diagnosis.
Methods: 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.
Results: 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.
Conclusion: 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.
