Laparoscopic Resection of an Undifferentiated Pleomorphic Splenic Sarcoma |
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Authors: | Asra Hashmi Eitan Podgaetz and Melanie L Richards |
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Institution: | Mayo Clinic, Rochester, Minnesota. |
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Abstract: | Background:Splenic tumors are rare. Malignant fibrous histiocytoma (MFH) of the spleen is one of the least common primary splenic tumors. Review of the literature shows that a laparoscopic resection has never been tried.Method:We discuss the case of a 76-year-old man with a 7-cm MFH in the spleen and present a review of splenic sarcomas.Results:The patient underwent a successful laparoscopic splenectomy; pathology revealed a rare undifferentiated pleomorphic sarcoma of the spleen. A review of the international literature identified 15 additional cases of primary splenic MFH. Survival was rarely longer than 15 months.Conclusion:Malignant fibrous histiocytoma of the spleen is an exceedingly rare tumor with a poor prognosis. In experienced hands, laparoscopic splenectomy is a feasible operative choice for primary splenic sarcoma. |
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Keywords: | Undifferentiated pleomorphic sarcoma Malignant fibrous histiocytoma Laparoscopic splenectomy |
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