title: Spleen Salvaging Treatment Approaches in Non-parasitic Splenic Cysts in Childhood.
abstract: The aim of this study was to evaluate our experience with primary non-parasitic splenic cysts (NPSC) which are relatively rare in children and consist almost exclusively of single case reports or small case series in the literature. The medical records of all patients who presented to our clinic with NPSC between 2005 and 2015 were evaluated retrospectively. There were 22 children whose ages ranged from 2 months to 14 years (mean 9.2 ± 4.7 years). The size of the cysts was in the range of 5 to 200 mm (mean 55.4 ± 48.2 mm). Ten patients underwent surgery for splenic cysts. Partial splenectomy (n = 2), total cyst excision (either open n = 4 or laparoscopically n = 1), and total splenectomy (n = 3) were performed. The non-operated patients were asymptomatic and followed with ultrasound (US). The follow-up period in non-operated patients ranged from 6 months to 5 years (mean 2.27 ± 1.29 years). Complete regression was observed in four (33 %) non-operated patients. The regressed cyst measurements were 10, 16, 30, and 40 mm, respectively. Approximately half of the NPSC is diagnosed incidentally. Small (<5 cm) asymptomatic cysts should be under regular follow-up with US/physical examination for regression. If surgery is required, we prefer open cyst excision as it gives excellent results and preserves splenic immune function.
authors: Department of Pediatric Surgery, Başkent University Faculty of Medicine, Dadaloğlu Mah 39 sokak, No: 6, Yüreğir, Adana, 01210 Turkey.
authors: Hasan Özkan
authors: HÖ
authors: Gezer
authors: Department of Pediatric Surgery, Başkent University Faculty of Medicine, Dadaloğlu Mah 39 sokak, No: 6, Yüreğir, Adana, 01210 Turkey.
authors: Pelin
authors: P
authors: Oğuzkurt
authors: Department of Pediatric Surgery, Başkent University Faculty of Medicine, Dadaloğlu Mah 39 sokak, No: 6, Yüreğir, Adana, 01210 Turkey.
authors: Abdulkerim
authors: A
authors: Temiz
authors: Department of Pediatric Surgery, Başkent University Faculty of Medicine, Dadaloğlu Mah 39 sokak, No: 6, Yüreğir, Adana, 01210 Turkey.
authors: Emine
authors: E
authors: İnce
authors: Department of Pediatric Surgery, Başkent University Faculty of Medicine, Dadaloğlu Mah 39 sokak, No: 6, Yüreğir, Adana, 01210 Turkey.
authors: Semire Serin
authors: SS
authors: Ezer
authors: Department of Pathology, Başkent University Faculty of Medicine, Ankara, Turkey.
authors: Nazım Emrah
authors: NE
authors: Koçer
authors: Department of Radiology, Başkent University Faculty of Medicine, Ankara, Turkey.
authors: Şenay
authors: Ş
authors: Demir
authors: Department of Pediatric Surgery, Başkent University Faculty of Medicine, Dadaloğlu Mah 39 sokak, No: 6, Yüreğir, Adana, 01210 Turkey.
authors: Akgün
authors: A
authors: Hiçsönmez
keywords: Children; Cystectomy; Splenectomy; Splenic cysts