Primary epithelial splenic cyst with micro-rupture and raised carbohydrate antigen CA 19-9: a proposal for management
Epithelial splenic cysts are rare entities which surgeons may not have previously encountered. Their management is based on historical studies. A 21-year-old woman presented with a cyst of the spleen that produced a high serum concentration of carbohydrate antigen CA 19-9. A partial splenectomy with...
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| Veröffentlicht in: | BMJ case reports 2010-11, Vol.2010 (oct29 1), p.bcr0620103125-bcr0620103125 |
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| container_issue | oct29 1 |
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| container_title | BMJ case reports |
| container_volume | 2010 |
| creator | Papadopoulos, Iordanis N Davatzikos, Anastasios Kasabalis, Georgios Manti, Christina Konstantoudakis, Georgios |
| description | Epithelial splenic cysts are rare entities which surgeons may not have previously encountered. Their management is based on historical studies. A 21-year-old woman presented with a cyst of the spleen that produced a high serum concentration of carbohydrate antigen CA 19-9. A partial splenectomy with removal of the entire cyst and preservation of the splenic parenchyma by laparotomy was performed and the patient made an uneventful recovery. A microscopic rupture of the wall of the cyst and blood degradation products in the fluid of the cyst were confirmed. A functional splenic parenchyma was documented 18 months after surgery. There was no infection during follow-up. Partial surgical splenectomy with resection of the entire cyst prevents recurrence and preserves splenic function. |
| doi_str_mv | 10.1136/bcr.06.2010.3125 |
| format | Article |
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| source | EZB-FREE-00999 freely available EZB journals; PubMed Central |
| subjects | Abdomen Antigens Blood Calcification Cysts Dissection Europe (West) Family medical history Female Pain Reminder of Important Clinical Lesson White |
| title | Primary epithelial splenic cyst with micro-rupture and raised carbohydrate antigen CA 19-9: a proposal for management |
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