Case Report
Copyright ©2008 The WJG Press and Baishideng. All rights reserved.
World J Gastroenterol. Nov 7, 2008; 14(41): 6421-6424
Published online Nov 7, 2008. doi: 10.3748/wjg.14.6421
Splenic inflammatory pseudotumor mimicking angiosarcoma
Chao-Wen Hsu, Chieh-Hsin Lin, Tsung-Lung Yang, Hong-Tai Chang
Chao-Wen Hsu, Division of Colorectal surgery, Department of Surgery, Kaohsiung Veteran General Hospital, Kaohsiung City, 81346, Taiwan, China
Chieh-Hsin Lin, Kaohsiung Municipal Kai-Suan Hospital, Kaohsiung City, 81346, Taiwan, China
Tsung-Lung Yang, Department of Radiology, Kaohsiung Veteran General Hospital, Kaohsiung City, 81346, Taiwan, China
Hong-Tai Chang, Department of Emergency Medicine, Kaohsiung Veteran General Hospital, Kaohsiung City, 81346, Taiwan, China
Author contributions: Hsu CW wrote the manuscript and revised the manuscripts; Lin CH collected the pictures, Yang TL interpreted all the imaging findings, Chang HT revised the manuscripts.
Correspondence to: Dr. Chao-Wen Hsu, Division of Colorectal surgery, Department of Surgery, Kaohsiung Veteran General Hospital, Kaohsiung City, 81346, Taiwan, China. ss851124@gmail.com
Telephone: +886-7-3422121-3000 Fax: +886-7- 3422288
Received: August 1, 2008
Revised: October 14, 2008
Accepted: October 21, 2008
Published online: November 7, 2008
Abstract

Splenic tumors are rare. Differentiation of the tumors before operation is of great value regarding the outcome. A case of a 32-year-old man with a splenic inflammatory pseudotumor (IPT) mimicking splenic angiosarcoma is described. The tumor was highly suspected of being splenic angiosarcoma based on radiological findings preoperatively. However, after splenectomy, histopathological examinations revealed splenic IPT. Splenic IPT and angiosarcoma are rare and often pose diagnostic difficulties because the clinical and radiological findings are obscure. Due to large differences in prognosis, we briefly reviewed the clinical, radiological, and pathological features of both of the tumors.

Keywords: Splenic inflammatory pseudotumor; Splenic angiosarcoma; Spleen tumor