Imaging and pathological comparison of inflammatory pseudotumor-like follicular dendritic cell sarcoma of the spleen: A case report and literature review

BackgroundInflammatory pseudotumor-like follicular dendritic cell sarcoma (IPT-like FDCS) is a rare subtype of follicular dendritic cell sarcoma (FDCS) that is mainly located in the liver and spleen (1). Splenic IPT-like FDCS is a rare low-grade malignancy with non-specific clinical manifestations a...

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Main Authors: Fuxing Chen, Junqiang Li, Pingkun Xie
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-09-01
Series:Frontiers in Surgery
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fsurg.2022.973106/full
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author Fuxing Chen
Junqiang Li
Pingkun Xie
author_facet Fuxing Chen
Junqiang Li
Pingkun Xie
author_sort Fuxing Chen
collection DOAJ
description BackgroundInflammatory pseudotumor-like follicular dendritic cell sarcoma (IPT-like FDCS) is a rare subtype of follicular dendritic cell sarcoma (FDCS) that is mainly located in the liver and spleen (1). Splenic IPT-like FDCS is a rare low-grade malignancy with non-specific clinical manifestations and laboratory findings. Herein, we reported the pathological and imaging features of a case with splenic IPT-like FDCS.Case presentationA 57-year-old woman was found to have a mass in the spleen during a physical examination and was hospitalized for further treatment. Her laboratory results were within the normal range. Unenhanced and contrast-enhanced computed tomography scans of the whole abdomen showed a round mass in the spleen, with a diameter of about 5 cm. After further examination with enhanced MRI, a provisional diagnosis of splenic hemangioma or splenic hamartoma was made. The patient underwent splenectomy, and the pathological diagnosis was splenic IPT-like FDCS. No tumor recurrence or metastasis was found during the 1-year follow-up after the operation.ConclusionsHerein, we reported a case of splenic IPT-like FDCS. Although the clinical examination and laboratory examination lack specificity, the imaging of this case showed that the lesion was a solid mass with progressive enhancement, and the central scar showed the characteristics of delayed enhancement, which facilitated the diagnosis.
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spelling doaj.art-775255fe623f4ccca7ad8e3aaa48bd452022-12-22T04:23:57ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2022-09-01910.3389/fsurg.2022.973106973106Imaging and pathological comparison of inflammatory pseudotumor-like follicular dendritic cell sarcoma of the spleen: A case report and literature reviewFuxing Chen0Junqiang Li1Pingkun Xie2Department of Radiology, Beilun District People’s Hospital, Ningbo, ChinaDepartment of Pathology, Beilun District People’s Hospital, Ningbo, ChinaDepartment of Radiology, Beilun District People’s Hospital, Ningbo, ChinaBackgroundInflammatory pseudotumor-like follicular dendritic cell sarcoma (IPT-like FDCS) is a rare subtype of follicular dendritic cell sarcoma (FDCS) that is mainly located in the liver and spleen (1). Splenic IPT-like FDCS is a rare low-grade malignancy with non-specific clinical manifestations and laboratory findings. Herein, we reported the pathological and imaging features of a case with splenic IPT-like FDCS.Case presentationA 57-year-old woman was found to have a mass in the spleen during a physical examination and was hospitalized for further treatment. Her laboratory results were within the normal range. Unenhanced and contrast-enhanced computed tomography scans of the whole abdomen showed a round mass in the spleen, with a diameter of about 5 cm. After further examination with enhanced MRI, a provisional diagnosis of splenic hemangioma or splenic hamartoma was made. The patient underwent splenectomy, and the pathological diagnosis was splenic IPT-like FDCS. No tumor recurrence or metastasis was found during the 1-year follow-up after the operation.ConclusionsHerein, we reported a case of splenic IPT-like FDCS. Although the clinical examination and laboratory examination lack specificity, the imaging of this case showed that the lesion was a solid mass with progressive enhancement, and the central scar showed the characteristics of delayed enhancement, which facilitated the diagnosis.https://www.frontiersin.org/articles/10.3389/fsurg.2022.973106/fullspleen tumorfollicular dendritic cell sarcomatomographyx-ray computedmagnetic resonance imaging
spellingShingle Fuxing Chen
Junqiang Li
Pingkun Xie
Imaging and pathological comparison of inflammatory pseudotumor-like follicular dendritic cell sarcoma of the spleen: A case report and literature review
Frontiers in Surgery
spleen tumor
follicular dendritic cell sarcoma
tomography
x-ray computed
magnetic resonance imaging
title Imaging and pathological comparison of inflammatory pseudotumor-like follicular dendritic cell sarcoma of the spleen: A case report and literature review
title_full Imaging and pathological comparison of inflammatory pseudotumor-like follicular dendritic cell sarcoma of the spleen: A case report and literature review
title_fullStr Imaging and pathological comparison of inflammatory pseudotumor-like follicular dendritic cell sarcoma of the spleen: A case report and literature review
title_full_unstemmed Imaging and pathological comparison of inflammatory pseudotumor-like follicular dendritic cell sarcoma of the spleen: A case report and literature review
title_short Imaging and pathological comparison of inflammatory pseudotumor-like follicular dendritic cell sarcoma of the spleen: A case report and literature review
title_sort imaging and pathological comparison of inflammatory pseudotumor like follicular dendritic cell sarcoma of the spleen a case report and literature review
topic spleen tumor
follicular dendritic cell sarcoma
tomography
x-ray computed
magnetic resonance imaging
url https://www.frontiersin.org/articles/10.3389/fsurg.2022.973106/full
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AT junqiangli imagingandpathologicalcomparisonofinflammatorypseudotumorlikefolliculardendriticcellsarcomaofthespleenacasereportandliteraturereview
AT pingkunxie imagingandpathologicalcomparisonofinflammatorypseudotumorlikefolliculardendriticcellsarcomaofthespleenacasereportandliteraturereview