CASE 393: SPLEEN TUMOR, Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC, VIETNAM

Woman 26 yo with no clinical symptom. Ultrasound screening detected a spleen mass

US 1= longitudinal scan of this mass size of 6.0cm at lower pole of spleen, hypoechoic, well bordered.

US 2=cross-sectional view of mass.

US 3=CDI of this mass with vascular bending sign and, ( US 4) structure inside hypervascular.

Blood tests are normal.

CT with CE:CT 1 non CE , CT2 CE, delay phase with central mass lower perfusion.

MRI with gado: this tumor is well bordered, peripheral enhanced and central hypoperfusion at the late phase.

LAPAROSCOPY  FOR  SPLENECTOMY  . SURGEON REPORTED  THIS TUMOR IS INTRA SPLEEN AND ITS COLOR  LOOKS LIKE SPLEEN TISSUE ( SEE  SPECIMEN).HE SAID IT MAY BE  HEMANGIOMA.

MICROSCOPIC REPORT  IS CAVERNEOUS HEMANGIOMA.