Laparoscopic Splenectomy in a Patient with Sclerosing Angiomatoid Nodular Transformation
Sclerosing angiomatoid nodular transformation (SANT) of the spleen is a specific, tumor-forming, non-neoplastic, vascular lesion with few reported cases worldwide. Herein, we describe the case of a patient who underwent laparoscopic splenectomy for SANT. A 47-year-old woman underwent upper gastroint...
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| Veröffentlicht in: | Case Reports in Gastroenterology 2020-01, Vol.14 (1), p.212-219 |
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| creator | Kusano, Toru Ryu, Chusei Matsuo, Toshikazu Hayashi, Hiroko |
| description | Sclerosing angiomatoid nodular transformation (SANT) of the spleen is a specific, tumor-forming, non-neoplastic, vascular lesion with few reported cases worldwide. Herein, we describe the case of a patient who underwent laparoscopic splenectomy for SANT. A 47-year-old woman underwent upper gastrointestinal endoscopy for suspected gastric submucosal tumor. Contrast-enhanced abdominal computed tomography revealed the presence of a gradually enhancing lesion in the splenic hilum. Although we suspected splenic fibrotic hamartoma, malignancy could not be ruled out. Therefore, the patient underwent laparoscopic splenectomy, resulting in the histopathological diagnosis of SANT. Although SANT is a benign tumor, it may be difficult to obtain definitive diagnosis using preoperative imaging alone. Because the long-term natural history of SANT is unknown, we believe that splenectomy could be an appropriate technique for the diagnosis and treatment of SANT. |
| doi_str_mv | 10.1159/000506934 |
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Herein, we describe the case of a patient who underwent laparoscopic splenectomy for SANT. A 47-year-old woman underwent upper gastrointestinal endoscopy for suspected gastric submucosal tumor. Contrast-enhanced abdominal computed tomography revealed the presence of a gradually enhancing lesion in the splenic hilum. Although we suspected splenic fibrotic hamartoma, malignancy could not be ruled out. Therefore, the patient underwent laparoscopic splenectomy, resulting in the histopathological diagnosis of SANT. Although SANT is a benign tumor, it may be difficult to obtain definitive diagnosis using preoperative imaging alone. Because the long-term natural history of SANT is unknown, we believe that splenectomy could be an appropriate technique for the diagnosis and treatment of SANT.</description><identifier>ISSN: 1662-0631</identifier><identifier>EISSN: 1662-0631</identifier><identifier>DOI: 10.1159/000506934</identifier><identifier>PMID: 32399005</identifier><language>eng</language><publisher>Basel, Switzerland: S. Karger AG</publisher><subject>Abdomen ; Biopsy ; Care and treatment ; Case reports ; Case studies ; Collagen ; Diagnosis ; Hypotheses ; laparoscopic splenectomy ; Laparoscopy ; Magnetic resonance imaging ; Methods ; Natural history ; Pain ; Pathogenesis ; sclerosing angiomatoid nodular transformation ; Single Case ; Spleen ; Splenectomy ; Splenic diseases ; Ultrasonic imaging ; Veins & arteries ; Women</subject><ispartof>Case Reports in Gastroenterology, 2020-01, Vol.14 (1), p.212-219</ispartof><rights>2020 The Author(s). Published by S. Karger AG, Basel</rights><rights>Copyright © 2020 by S. Karger AG, Basel.</rights><rights>COPYRIGHT 2020 S. Karger AG</rights><rights>Copyright © 2020 by S. 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Herein, we describe the case of a patient who underwent laparoscopic splenectomy for SANT. A 47-year-old woman underwent upper gastrointestinal endoscopy for suspected gastric submucosal tumor. Contrast-enhanced abdominal computed tomography revealed the presence of a gradually enhancing lesion in the splenic hilum. Although we suspected splenic fibrotic hamartoma, malignancy could not be ruled out. Therefore, the patient underwent laparoscopic splenectomy, resulting in the histopathological diagnosis of SANT. Although SANT is a benign tumor, it may be difficult to obtain definitive diagnosis using preoperative imaging alone. Because the long-term natural history of SANT is unknown, we believe that splenectomy could be an appropriate technique for the diagnosis and treatment of SANT.</description><subject>Abdomen</subject><subject>Biopsy</subject><subject>Care and treatment</subject><subject>Case reports</subject><subject>Case studies</subject><subject>Collagen</subject><subject>Diagnosis</subject><subject>Hypotheses</subject><subject>laparoscopic splenectomy</subject><subject>Laparoscopy</subject><subject>Magnetic resonance imaging</subject><subject>Methods</subject><subject>Natural history</subject><subject>Pain</subject><subject>Pathogenesis</subject><subject>sclerosing angiomatoid nodular transformation</subject><subject>Single Case</subject><subject>Spleen</subject><subject>Splenectomy</subject><subject>Splenic diseases</subject><subject>Ultrasonic imaging</subject><subject>Veins & arteries</subject><subject>Women</subject><issn>1662-0631</issn><issn>1662-0631</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>M--</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DOA</sourceid><recordid>eNpVkk1v1DAQhiMEoqVw4I5QJE4ctngSxx8XpFXFR6UVILVI3Cxn7KReEnvrZEH99wxkWbXywdb4eV_PeKYoXgI7B2j0O8ZYw4Su-aPiFISoVkzU8Pje-aR4Nk1bxgSvanhanNRVrTWJTosfG7uzOU2YdgHLq93go8c5jXdliKUtv9k5-DiXv8N8U17h4AkNsS_XsQ9ptHMKrvyS3H6wubzONk5dyhQOKT4vnnR2mPyLw35WfP_44fri82rz9dPlxXqzwqbi80oCU-AY44zXLWCjWo2UWuWYhM5Z2XRMtbbiHEGCVwxBtaiE18hQKa_qs-Jy8XXJbs0uh9HmO5NsMP8CKffG5jlQ6kZLZUHxtlLoOKBQYNFLpMcdSqc78nq_eO327egdUuXZDg9MH97EcGP69MvIinEpgQzeHAxyut37aTbbtM-R6jcVB2qQ4loQdb5QvaWsQuwSmSEt58eAKfouUHwtaqYZCMVJ8HYRIH3_lH13TAmY-TsB5jgBxL6-X8OR_N9yAl4twE-be5-PwEH_B5_stGk</recordid><startdate>20200101</startdate><enddate>20200101</enddate><creator>Kusano, Toru</creator><creator>Ryu, Chusei</creator><creator>Matsuo, Toshikazu</creator><creator>Hayashi, Hiroko</creator><general>S. Karger AG</general><general>Karger Publishers</general><scope>M--</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IAO</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>20200101</creationdate><title>Laparoscopic Splenectomy in a Patient with Sclerosing Angiomatoid Nodular Transformation</title><author>Kusano, Toru ; Ryu, Chusei ; Matsuo, Toshikazu ; Hayashi, Hiroko</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c524t-71081d004043b1c58b9c9902d071fda75f08ba244c171e80c18bc86e9c0c88e83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Abdomen</topic><topic>Biopsy</topic><topic>Care and treatment</topic><topic>Case reports</topic><topic>Case studies</topic><topic>Collagen</topic><topic>Diagnosis</topic><topic>Hypotheses</topic><topic>laparoscopic splenectomy</topic><topic>Laparoscopy</topic><topic>Magnetic resonance imaging</topic><topic>Methods</topic><topic>Natural history</topic><topic>Pain</topic><topic>Pathogenesis</topic><topic>sclerosing angiomatoid nodular transformation</topic><topic>Single Case</topic><topic>Spleen</topic><topic>Splenectomy</topic><topic>Splenic diseases</topic><topic>Ultrasonic imaging</topic><topic>Veins & arteries</topic><topic>Women</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kusano, Toru</creatorcontrib><creatorcontrib>Ryu, Chusei</creatorcontrib><creatorcontrib>Matsuo, Toshikazu</creatorcontrib><creatorcontrib>Hayashi, Hiroko</creatorcontrib><collection>Karger Open Access</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale Academic OneFile</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>Case Reports in Gastroenterology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kusano, Toru</au><au>Ryu, Chusei</au><au>Matsuo, Toshikazu</au><au>Hayashi, Hiroko</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Laparoscopic Splenectomy in a Patient with Sclerosing Angiomatoid Nodular Transformation</atitle><jtitle>Case Reports in Gastroenterology</jtitle><addtitle>Case Rep Gastroenterol</addtitle><date>2020-01-01</date><risdate>2020</risdate><volume>14</volume><issue>1</issue><spage>212</spage><epage>219</epage><pages>212-219</pages><issn>1662-0631</issn><eissn>1662-0631</eissn><abstract>Sclerosing angiomatoid nodular transformation (SANT) of the spleen is a specific, tumor-forming, non-neoplastic, vascular lesion with few reported cases worldwide. Herein, we describe the case of a patient who underwent laparoscopic splenectomy for SANT. A 47-year-old woman underwent upper gastrointestinal endoscopy for suspected gastric submucosal tumor. Contrast-enhanced abdominal computed tomography revealed the presence of a gradually enhancing lesion in the splenic hilum. Although we suspected splenic fibrotic hamartoma, malignancy could not be ruled out. Therefore, the patient underwent laparoscopic splenectomy, resulting in the histopathological diagnosis of SANT. Although SANT is a benign tumor, it may be difficult to obtain definitive diagnosis using preoperative imaging alone. Because the long-term natural history of SANT is unknown, we believe that splenectomy could be an appropriate technique for the diagnosis and treatment of SANT.</abstract><cop>Basel, Switzerland</cop><pub>S. Karger AG</pub><pmid>32399005</pmid><doi>10.1159/000506934</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Abdomen Biopsy Care and treatment Case reports Case studies Collagen Diagnosis Hypotheses laparoscopic splenectomy Laparoscopy Magnetic resonance imaging Methods Natural history Pain Pathogenesis sclerosing angiomatoid nodular transformation Single Case Spleen Splenectomy Splenic diseases Ultrasonic imaging Veins & arteries Women |
| title | Laparoscopic Splenectomy in a Patient with Sclerosing Angiomatoid Nodular Transformation |
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