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World Journal of Surgical Oncology

, 6:87

First Online: 19 August 2008Received: 14 January 2008Accepted: 19 August 2008


BackgroundLittoral cell angioma LCA is a recently described primary vascular neoplasm of the spleen that may be associated with other malignancies and may itself also have malignant potential.

Case presentationWe present a case of LCA that was discovered incidentally in a 52-year-old woman who presented with biliary colic at the time of consultation for cholecystectomy. This vascular neoplasm was evaluated by ultrasound, CT, MRI, Tc-99m labelled red blood cell scintigraphy, and core biopsy. A splenectomy revealed LCA by pathological evaluation. Post-operative outcome was favourable with no evidence of complication or recurrent disease. Following this case presentation, clinical, radiographic, and pathological features of LCA will be reviewed as well as recent advances in our understanding of this uncommon splenic lesion.

ConclusionLCA is a rare, generally benign, primary vascular tumour of the spleen that typically is discovered incidentally. Individuals diagnosed with this tumour must be carefully evaluated to exclude primary, secondary, and synchronous malignancies.

Electronic supplementary materialThe online version of this article doi:10.1186-1477-7819-6-87 contains supplementary material, which is available to authorized users.

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Autor: May Tee - Patrick Vos - Peter Zetler - Sam M Wiseman


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