Primary splenic lymphoma on top of intrahepatic splenosis: A unique case report

Moataz Soliman, MD; Hatice Savas, MD; Yury S. Velichko, PhD; Yue Xue, MD; Ayman H. Gaballah, MD

Radiology Case Reports (Aug 2022)

Primary splenic lymphoma on top of intrahepatic splenosis: A unique case report

Moataz Soliman, MD,
Hatice Savas, MD,
Yury S. Velichko, PhD,
Yue Xue, MD,
Ayman H. Gaballah, MD

Affiliations

Moataz Soliman, MD: Department of Radiology Northwestern University Feinberg School of medicine, Chicago, IL, USA
Hatice Savas, MD: Department of Radiology Northwestern University Feinberg School of medicine, Chicago, IL, USA
Yury S. Velichko, PhD: Department of Radiology Northwestern University Feinberg School of medicine, Chicago, IL, USA
Yue Xue, MD: Department of Pathology Northwestern University Feinberg School of medicine, Chicago, IL, USA
Ayman H. Gaballah, MD: Department of Radiology, University of Missouri, Columbia, Missouri, USA; Corresponding author.

Journal volume & issue: Vol. 17, no. 8
pp. 2850 – 2854

Abstract

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Solid organ splenosis is a challenging diagnosis with many atypical imaging features that can overlap with neoplastic masses of the affected organ. We present a sporadic case of intrahepatic splenosis in a 68-year-old woman with transformation into a low-grade B cell lymphoma. Initial cross-sectional imaging suggested focal nodular hyperplasia (FNH) ruled out on contrast-enhanced Magnetic Resonance Imaging (MRI) using a hepatobiliary-specific contrast agent. A Tc-99m sulfur colloid scan was negative. The final diagnosis was confirmed by a needle-guided biopsy revealing intrahepatic splenosis with transformation into a low-grade B cell lymphoma.

Published in Radiology Case Reports

ISSN: 1930-0433 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Medicine (General): Medical physics. Medical radiology. Nuclear medicine
Website: http://www.journals.elsevier.com/radiology-case-reports/

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