title: Primary epithelial splenic cyst with micro-rupture and raised carbohydrate antigen CA 19-9: a paradigm of management.
abstract: Epithelial splenic cysts are rare entities that surgeons might not have previously encountered and their management is based on historical studies. A 21-year-old female presented with a cyst of the spleen that produced a high serum concentration of carbohydrate antigen CA 19-9. A partial splenectomy with the removal of the entire cyst and preservation of splenic parenchyma by laparotomy was performed and the patient made an uneventful recovery. A microscopic rupture of the wall of the cyst and degradation of blood in the fluid of the cyst were confirmed. Eighteen months following surgery a functional splenic parenchyma was documented. There was no episode of infection during this follow-up time. Partial surgical splenectomy with resection of the entire cyst prevents recurrence and preserves splenic function.
authors: Fourth Surgery Department, National & Kapodistrian University of Athens, Attikon University General Hospital, Athens, Greece. ipapado@med.uoa.gr
authors: Iordanis N
authors: IN
authors: Papadopoulos
authors: Anastasios
authors: A
authors: Davatzikos
authors: Georgios
authors: G
authors: Kasabalis
authors: Christina
authors: C
authors: Manti
authors: Georgios
authors: G
authors: Konstantoudakis
mesh_terms: D001707:Biopsy, Needle; D018395:CA-19-9 Antigen / Q000276:immunology*; D004814:Epidermal Cyst / Q000276:immunology / Q000473:pathology* / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007150:Immunohistochemistry; D007813:Laparotomy / Q000379:methods; D018570:Risk Assessment; D012422:Rupture, Spontaneous / Q000175:diagnosis / Q000601:surgery; D013156:Splenectomy / Q000379:methods*; D013158:Splenic Diseases / Q000276:immunology / Q000473:pathology* / Q000601:surgery; D016896:Treatment Outcome; D055815:Young Adult
chemical_list: D018395:CA-19-9 Antigen