Thoracic splenosis: correct imaging diagnosis prevents invasive procedures like biopsy and thoracoscopy

Thampy, Rajesh; Thupili, Chakradhar R.

doi:10.1136/bcr-2018-227355

Cited by 4 publications

(7 citation statements)

References 3 publications

(3 reference statements)

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“…1 The true prevalence of these cases is likely underestimated, as most patients are asymptomatic, and the diagnosis is an incidental finding. [1][2][3]15 There are few reports of symptoms of recurrent hemoptysis and pleuritic pain associated with this condition. 1,3,15 It is important to rule out other conditions that mimic these radiological findings, such as lymphoma, infectious diseases, hamartomas, pleural metastases (lung, breast, and melanoma), and rheumatoid nodules.…”

Section: Discussionmentioning

confidence: 99%

“…[1][2][3]15 There are few reports of symptoms of recurrent hemoptysis and pleuritic pain associated with this condition. 1,3,15 It is important to rule out other conditions that mimic these radiological findings, such as lymphoma, infectious diseases, hamartomas, pleural metastases (lung, breast, and melanoma), and rheumatoid nodules. 1,15 Metastases should be considered when patients already have an existing neoplasm.…”

Section: Discussionmentioning

confidence: 99%

“…1 Intrathoracic splenosis is usually an asymptomatic, incidental finding. [1][2][3] Patients rarely present with symptoms of hemoptysis, cough, or pleuritic chest pain. 3 Thoracic splenosis should be considered in the differential diagnosis of pleural nodules when there is a history of thoracoabdominal trauma and splenectomy.…”

Section: Introductionmentioning

confidence: 99%

“…[1][2][3] Patients rarely present with symptoms of hemoptysis, cough, or pleuritic chest pain. 3 Thoracic splenosis should be considered in the differential diagnosis of pleural nodules when there is a history of thoracoabdominal trauma and splenectomy. [4][5][6] Metastases should be considered when patients already have neoplasia.…”

Section: Introductionmentioning

confidence: 99%

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Thoracic Splenosis Mimicking Metastatic Neuroendocrine Tumor (NET)

Gandhe¹

2021

Biom Case Rep Open A Open J

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A 64-year-old man presented with abdominal pain. CT scan showed a 5mm left ureter stone, mesenteric root mass as well as a left lung pleuralbased lesion. Metastatic Neuroendocrine Tumor (NET) was suspected, hence a Gallium-68 Dotatate PET was performed. It showed intense uptake in the mesenteric mass, as well as in the pleural nodule, and no intense uptake in the liver. The liver is the most common site for small bowel NET metastasis. It is unusual to have pleural metastasis without liver metastasis. A review of this patient’s past medical history revealed a motor vehicle accident 20 years ago which required an exploratory laparotomy and splenectomy. Gallium 68 Dotatate PET scan can detect splenosis because it has somatostatin receptors. In patients with an existing neoplasm, metastases should be ruled out before confirming the diagnosis of splenosis. CT-guided biopsy of pleura nodule was performed, which confirmed the diagnosis of splenosis.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Thoracic Splenosis Mimicking Metastatic Neuroendocrine Tumor (NET)

Gandhe¹

2021

Biom Case Rep Open A Open J

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“…Splenic rupture is known to lead to fragments of splenic tissue spreading within the thorax and the abdomen, remaining stable or growing minimally and usually presenting many years later with a diagnostic conundrum. [1][2][3][4] This is one such case. THE CASE A 45-year-old man from a troubled African nation was referred on an urgent basis for a computed tomography (CT)-guided biopsy of 'masses' in the chest.…”

Section: Introductionmentioning

confidence: 98%