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Primary splenic lymphoma on top of intrahepatic splenosis: A unique case report
Authors:Moataz Soliman  Hatice Savas  Yury S. Velichko  Yue Xue  Ayman H. Gaballah
Affiliation:aDepartment of Radiology Northwestern University Feinberg School of medicine, Chicago, IL, USA;bDepartment of Pathology Northwestern University Feinberg School of medicine, Chicago, IL, USA;cDepartment of Radiology, University of Missouri, Columbia, Missouri, USA
Abstract:Solid organ splenosis is a challenging diagnosis with many atypical imaging features that can overlap with neoplastic masses of the affected organ. We present a sporadic case of intrahepatic splenosis in a 68-year-old woman with transformation into a low-grade B cell lymphoma. Initial cross-sectional imaging suggested focal nodular hyperplasia (FNH) ruled out on contrast-enhanced Magnetic Resonance Imaging (MRI) using a hepatobiliary-specific contrast agent. A Tc-99m sulfur colloid scan was negative. The final diagnosis was confirmed by a needle-guided biopsy revealing intrahepatic splenosis with transformation into a low-grade B cell lymphoma.
Keywords:Splenosis   Intrahepatic   Sulfur colloid scan   B cell lymphoma
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