Thoracic splenosis: know it—avoid unnecessary investigations, interventions, and thoracotomy
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : Amir Maqbul Khan, MD · Kamran Manzoor, MD Zeeshan Malik, BSc · Avsar Yasim, MD Chang Shim, MD
- چاپ و سال / کشور: 2010
Description
Thoracic splenosis (TS) is autoimplantation of ectopic splenic tissue in the thoracic cavity that occurs following splenic injury. Most cases of TS are asymptomatic and are diagnosed during the course of an evaluation of incidentally discovered pulmonary lesions. Some cases may be diffi cult to diagnose, especially if features suggesting TS are not recognized. This may lead to an extensive workup and unnecessary invasive diagnostic procedures including thoracotomy. Multiple, asymptomatic, left-sided pleura-based lesions associated with a history of thoracoabdominal injury and splenectomy are the key points that should alert one to suspect TS, which can then simply be confi rmed with a 99mTcsulfa colloid radionuclide scan. If TS is suspected and radionuclide imaging studies are performed, further extensive investigations, such as bronchoscopy, biopsy, thoracoscopy, and thoracotomy, are not required as the radionuclide scan is defi nitive for diagnosis. Most cases are asymptomatic, so further treatment is rarely required; all cases are managed conservatively. We emphasize that all physicians, radiologists, pathologists, and interventionalists should recognize key features that suggest the diagnosis of TS, order appropriate imaging when it is suspected, and avoid unnecessary invasive diagnostic procedures including thoracotomy
Gen Thorac Cardiovasc Surg (2011) 59:245–253 DOI 10.1007/s11748-010-0706-8 Received: 30 May 2010 / Accepted: 1 September 2010
