Radiology Case Reports (Oct 2022)

Incidental littoral cell angioma of the spleen: cross-sectional imaging findings and review of the literature

  • Pier Paolo Arcuri, MD,
  • Stefano Taglianetti, MD,
  • Barbara Vavalà, MD,
  • Caterina Battaglia, MD,
  • Domenico Laganà, MD,
  • Francesco Manti, MD

Journal volume & issue
Vol. 17, no. 10
pp. 3545 – 3550

Abstract

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Littoral cell angioma (LCA) is a primary splenic hemangioma found mostly in normal red sinus shore cells of the reticuloendothelial cell system of the spleen. In most cases is benign, but sometimes malignancies have been reported. This tumor displayed epithelial and histiocytic properties based on its cell of origin, splenic littoral cells. In this case report, we will describe a case of a 21-year-male presenting with an incidentally discovered LCA illustrated by cross-sectional imaging techniques, highlighting how the diffusional sequence and the positron emission tomography study, thanks to their greater specificity, have contributed to reaching a correct diagnostic orientation more than dynamic studies with contrast agent in both computed tomography and magnetic resonance.

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