Malignant splenic lymphoma: Sonographic patterns, diagnosis and follow-up

Laparoscopic splenectomy for non-Hodgkin lymphoma

“…Computed tomography is probably the most useful radiologic test by determining splenic size, lymphoma nodules 1 cm or larger, and additional retroperitoneal adenopathy [24]. The results of ultrasound have also been encouraging, with some groups obtaining a high correlation with histologic subtypes [25]. When the diagnosis of primary splenic lymphoma is confirmed by splenectomy, the outcome is usually favorable.…”

Surgical approach of primary splenic lymphoma: report of a case and review of the literature

“…Anechoic areas suggest liquefactive necrosis and in the presence of fever, it may be diffi cult to distinguish from splenic abscess [16]. Splenomegaly is frequently observed in malignant disorders and can be attributed to potential involvement of the organ, associated hemolytic syndromes, or portal hypertension due to liver dysfunction [17]. In our patient, in spite of accurate determination of splenic size and weight, a fi rm PSL diagnosis was not promptly implemented by ultrasound.…”

Splenic Lesions

“…With contrast administration, lymphomatous lesions are hypoechoic with irregular peripheral enhancement [ 45 ] and become more hypoechoic relative to normal splenic parenchyma as a function of time [ 11 , 49 ]. The sensitivity and specifi city of ultrasound for detecting and diagnosing splenic lymphoma are 54 and 100 %, respectively [ 48 ]. Ultrasound is limited in that it can detect larger lesions with a fairly high sensitivity but does not fare as well for diffuse splenic involvement.…”