Reactive Hypertrophy of an Accessory Spleen Mimicking Tumour Recurrence of Metastatic Renal Cell Carcinoma

De novo occurrence of an accessory spleen after splenectomy is worth noting for two reasons. First, it is known that splenectomy can cause reactive hypertrophy of initially inactive and macroscopically invisible splenic tissue. Second, it can mimic tumour recurrence in situations in which splenectom...

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Main Authors: Christin Tjaden, Jens Werner, Markus W. Buechler, Thilo Hackert
Format: Article
Language:English
Published: Elsevier 2011-01-01
Series:Asian Journal of Surgery
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1015958411600195
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author Christin Tjaden
Jens Werner
Markus W. Buechler
Thilo Hackert
author_facet Christin Tjaden
Jens Werner
Markus W. Buechler
Thilo Hackert
author_sort Christin Tjaden
collection DOAJ
description De novo occurrence of an accessory spleen after splenectomy is worth noting for two reasons. First, it is known that splenectomy can cause reactive hypertrophy of initially inactive and macroscopically invisible splenic tissue. Second, it can mimic tumour recurrence in situations in which splenectomy has been performed for oncological reasons. This might cause difficulties in differential diagnosis and the clinical decision for reoperation. We report the case of a patient with suspected recurrence of renal cell carcinoma after total pancreatectomy and splenectomy for metastatic renal cell carcinoma, which finally revealed an accessory spleen as the morphological correlate of the newly diagnosed mass in the left retroperitoneum.
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spelling doaj.art-33616b85a4734331ad87dfe7aa3cbd9a2022-12-21T17:46:02ZengElsevierAsian Journal of Surgery1015-95842011-01-01341505210.1016/S1015-9584(11)60019-5Reactive Hypertrophy of an Accessory Spleen Mimicking Tumour Recurrence of Metastatic Renal Cell CarcinomaChristin TjadenJens WernerMarkus W. BuechlerThilo HackertDe novo occurrence of an accessory spleen after splenectomy is worth noting for two reasons. First, it is known that splenectomy can cause reactive hypertrophy of initially inactive and macroscopically invisible splenic tissue. Second, it can mimic tumour recurrence in situations in which splenectomy has been performed for oncological reasons. This might cause difficulties in differential diagnosis and the clinical decision for reoperation. We report the case of a patient with suspected recurrence of renal cell carcinoma after total pancreatectomy and splenectomy for metastatic renal cell carcinoma, which finally revealed an accessory spleen as the morphological correlate of the newly diagnosed mass in the left retroperitoneum.http://www.sciencedirect.com/science/article/pii/S1015958411600195accessory spleenhypertrophyrenal cell carcinomatumor recurrence
spellingShingle Christin Tjaden
Jens Werner
Markus W. Buechler
Thilo Hackert
Reactive Hypertrophy of an Accessory Spleen Mimicking Tumour Recurrence of Metastatic Renal Cell Carcinoma
Asian Journal of Surgery
accessory spleen
hypertrophy
renal cell carcinoma
tumor recurrence
title Reactive Hypertrophy of an Accessory Spleen Mimicking Tumour Recurrence of Metastatic Renal Cell Carcinoma
title_full Reactive Hypertrophy of an Accessory Spleen Mimicking Tumour Recurrence of Metastatic Renal Cell Carcinoma
title_fullStr Reactive Hypertrophy of an Accessory Spleen Mimicking Tumour Recurrence of Metastatic Renal Cell Carcinoma
title_full_unstemmed Reactive Hypertrophy of an Accessory Spleen Mimicking Tumour Recurrence of Metastatic Renal Cell Carcinoma
title_short Reactive Hypertrophy of an Accessory Spleen Mimicking Tumour Recurrence of Metastatic Renal Cell Carcinoma
title_sort reactive hypertrophy of an accessory spleen mimicking tumour recurrence of metastatic renal cell carcinoma
topic accessory spleen
hypertrophy
renal cell carcinoma
tumor recurrence
url http://www.sciencedirect.com/science/article/pii/S1015958411600195
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AT jenswerner reactivehypertrophyofanaccessoryspleenmimickingtumourrecurrenceofmetastaticrenalcellcarcinoma
AT markuswbuechler reactivehypertrophyofanaccessoryspleenmimickingtumourrecurrenceofmetastaticrenalcellcarcinoma
AT thilohackert reactivehypertrophyofanaccessoryspleenmimickingtumourrecurrenceofmetastaticrenalcellcarcinoma