Intrapancreatic accessory spleen |
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| Authors: | J?rg M L?uffer Hans U Baer Christoph A Maurer Markus Wagner Arthur Zimmermann and Markus W Büchler |
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| Institution: | (1) Institute of Pathology, University of Bern, Inselspital, Switzerland;(2) Department of Visceral and Transplantation Surgery, University of Bern, Switzerland, CH-3010 Bern, Switzerland |
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| Abstract: | Summary
Conclusion: The clinical significance of intrapancreatic accessory spleens resides in the mimicry of pancreatic cancer. Radionuclide
tests (Octreotide scan and Tc99m sulfur colloid scan) should be undertaken to distinguish these lesions from neuroendocrine
tumors, hypervascular metastases and pancreatic carcinoma. If the tests are equivocal, diagnostic laparotomy or laparoscopy
is recommended.
Background: Despite its relatively common occurrence, intrapancreatic ectopic splenic tissue is rarely deted owing to its asymptomatic
nature.
Methods: We report a case of a clinically asymptomatic patient in which abdominal computed tomography (CT) scans revealed a mass of
1.5 cm in diameter in the distal pancreas. The tumor markers CA 19-9 and carcinomebryonic antigen (CEA) were slightly elevated,
and pancreatic neoplasm was suspected.
Results: Left pancreatic resection and splenectomy were performed. The removed specimen disclosed the presence of an accessory spleen
within the pancreatic tail. |
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| Keywords: | Accessory spleen ectopic spleen pancreas benign tumor |
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