关键词: core needle biopsy image guided inflammatory pseudotumor spleen ultrasound

Mesh : Aged, 80 and over Biopsy, Needle Female Granuloma, Plasma Cell / diagnostic imaging pathology Humans Multimodal Imaging Positron-Emission Tomography Spleen / diagnostic imaging pathology Splenic Diseases / diagnosis Tomography, X-Ray Computed

来  源:   DOI:10.3941/jrcr.v5i9.758   PDF(Sci-hub)

Abstract:
We describe a 91-year-old woman with a clinical history of invasive ductal carcinoma of the breast diagnosed in 1991 who was admitted because of dizziness, poor appetite, and some swelling and tenderness over her cheeks. The patient\'s initial work up revealed a 5-cm well-demarcated hypodense solid lesion in her spleen with abnormally intense uptake on PET/CT scan raising suspicion for malignancy i.e. breast metastasis versus lymphoma. Further review demonstrated the presence of this splenic lesion, though slightly smaller, on a CT scan from ten years earlier (2000). An ultrasonographic guided core needle splenic biopsy was performed and the pathology result revealed histological findings compatible with inflammatory pseudotumor of the spleen. As a result, unnecessary splenectomy was avoided.
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