Primary epithelial splenic cyst with micro-rupture and raised carbohydrate antigen CA 19-9: a paradigm of management.
Epithelial splenic cysts are rare entities which surgeons may not have previously encountered. Their management is based on historical studies. A 21-year-old woman presented with a cyst of the spleen that produced a high serum concentration of carbohydrate antigen CA 19-9. A partial splenectomy with removal of the entire cyst and preservation of the splenic parenchyma by laparotomy was performed and the patient made an uneventful recovery. A microscopic rupture of the wall of the cyst and blood degradation products in the fluid of the cyst were confirmed. A functional splenic parenchyma was documented 18 months after surgery. There was no infection during follow-up. Partial surgical splenectomy with resection of the entire cyst prevents recurrence and preserves splenic function.
Fourth Surgery Department, National and Kapodistrian University of Athens, Attikon University General Hospital, Athens, Greece. ipapado@med.uoa.gr
Iordanis N
IN
Papadopoulos
Anastasios
A
Davatzikos
Georgios
G
Kasabalis
Christina
C
Manti
Georgios
G
Konstantoudakis
D015415:Biomarkers / Q000097:blood; D018395:CA-19-9 Antigen / Q000097:blood*; D003560:Cysts / Q000097:blood / Q000175:diagnosis / Q000601:surgery*; D005260:Female; D006801:Humans; D013156:Splenectomy / Q000379:methods*; D013158:Splenic Diseases / Q000097:blood / Q000175:diagnosis / Q000601:surgery*; D055815:Young Adult
D015415:Biomarkers; D018395:CA-19-9 Antigen