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Accessory Spleen

Presentation

AS presents 13 times more frequently in females than males, and the mean age is reported between 20 and 40 years [5] ; the present case agreeing with these statistics. [ncbi.nlm.nih.gov]

Definition / general Present in 20 - 33% of autopsies Usually small (up to 4 cm), resembles normal spleen macroscopically and microscopically Near splenic hilum, gastrosplenic ligament, tail of pancreas ( Pancreas 2011;40:956 ) Important to document or [pathologyoutlines.com]

Of these, 1.7% may present intrapancreatic localization. An accessory spleen located in the pancreas requires making a differential diagnosis with solid tumors of the tail of the pancreas. We report on a case treated by laparoscopic pancreatectomy. [scienceopen.com]

Urogenital

  • Adnexal Mass

    Conclusion Althought pelvic accessory spleen is a rare condition, should be considered in the differential diagnosis of adnexal masses. Keywords: Adnexal mass, Accessory spleen, Histopathology 1.  [ncbi.nlm.nih.gov]

    "Accessory spleen presenting as adnexal mass". Acta Obstet Gynecol Scand. 72 (7): 587–8. doi : 10.3109/00016349309058171. PMID 8213112. ^ a b Chen S–L; Kao Y–L; Sun H–S; Lin W–L (November 2008). "Splenogonadal Fusion". [en.wikipedia.org]

Workup

Further workup by appropriate radionuclide imaging can avoid surgical exploration or needling the patient. [ncbi.nlm.nih.gov]

Treatment

Consequently, it is important to accurately differentiate an accessory spleen from other pancreatic lesions requiring more aggressive treatment. [ncbi.nlm.nih.gov]

As a result of treatment, he developed gall stones and had his thyroid removed. The interaction between his thyroid mediation and cancer meds resulted is him developing Type 2 diabetes. [montrealgazette.com]

Prognosis

After the devastating prognosis in 2011, Partington was given further tests and put on the drug Imatinib which resulted in his tumour shrinking by 70 per cent. [montrealgazette.com]

Prevention

[…] pancreatic tail lesion could be an intrapancreatic accessory spleen, a high index of suspicion will lead to correlative imaging, and a combination of CT, magnetic resonance imaging (MRI) and nuclear medicine examinations can confirm the diagnosis and prevent [ncbi.nlm.nih.gov]

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