Primary lymphoma of the spleen mimicking simple benign cysts: contrast-enhanced ultrasonography and other imaging findings

Verfasser / Beitragende:
[Stefano Ballestri, Amedeo Lonardo, Dante Romagnoli, Luisa Losi, Paola Loria]
Ort, Verlag, Jahr:
2015
Enthalten in:
Journal of Medical Ultrasonics, 42/2(2015-04-01), 251-255
Format:
Artikel (online)
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024 7 0 |a 10.1007/s10396-014-0579-z  |2 doi 
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245 0 0 |a Primary lymphoma of the spleen mimicking simple benign cysts: contrast-enhanced ultrasonography and other imaging findings  |h [Elektronische Daten]  |c [Stefano Ballestri, Amedeo Lonardo, Dante Romagnoli, Luisa Losi, Paola Loria] 
520 3 |a We report on a case of incidentally detected primary splenic lymphoma mimicking simple benign cysts on abdominal ultrasonography. On contrast-enhanced ultrasonography (CEUS), the lesions showed isoenhancement in the arterial phase with progressive washout and marked hypoenhancement in the parenchymal phase. This pattern enabled us to suspect the malignant nature of the disease, thus preventing a dangerous misdiagnosis. Accordingly, further characterization with other imaging studies (computed tomography, magnetic resonance imaging, and positron emission tomography) was pursued based on CEUS and taking into account the patient's clinical picture and medical history. Collectively, imaging data led us to a diagnosis of suspected primary splenic malignancy, most probably lymphoma, which was histologically confirmed on the surgical specimen after splenectomy. 
540 |a The Japan Society of Ultrasonics in Medicine, 2014 
690 7 |a Primary splenic lymphoma  |2 nationallicence 
690 7 |a Cysts  |2 nationallicence 
690 7 |a Contrast-enhanced ultrasonography  |2 nationallicence 
690 7 |a Ultrasound  |2 nationallicence 
690 7 |a Imaging  |2 nationallicence 
700 1 |a Ballestri  |D Stefano  |u Division of Internal Medicine, Department of Internal Medicine, Hospital of Pavullo, AUSL Modena, Via Suore di S.G.B. Cottolengo 5, Pavullo nel Frignano, 41026, Modena, Italy  |4 aut 
700 1 |a Lonardo  |D Amedeo  |u Division of Internal Medicine, Department of Biomedical, Metabolic and Neural Sciences, NOCSAE, University of Modena and Reggio Emilia and AUSL Modena, Baggiovara, Modena, Italy  |4 aut 
700 1 |a Romagnoli  |D Dante  |u Division of Internal Medicine, Department of Biomedical, Metabolic and Neural Sciences, NOCSAE, University of Modena and Reggio Emilia and AUSL Modena, Baggiovara, Modena, Italy  |4 aut 
700 1 |a Losi  |D Luisa  |u Department of Pathology, Azienda Ospedaliero-Universitaria Policlinico of Modena, University of Modena and Reggio Emilia, Modena, Italy  |4 aut 
700 1 |a Loria  |D Paola  |u Division of Internal Medicine, Department of Biomedical, Metabolic and Neural Sciences, NOCSAE, University of Modena and Reggio Emilia and AUSL Modena, Baggiovara, Modena, Italy  |4 aut 
773 0 |t Journal of Medical Ultrasonics  |d Springer Japan  |g 42/2(2015-04-01), 251-255  |x 1346-4523  |q 42:2<251  |1 2015  |2 42  |o 10396 
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950 |B NATIONALLICENCE  |P 700  |E 1-  |a Ballestri  |D Stefano  |u Division of Internal Medicine, Department of Internal Medicine, Hospital of Pavullo, AUSL Modena, Via Suore di S.G.B. Cottolengo 5, Pavullo nel Frignano, 41026, Modena, Italy  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Lonardo  |D Amedeo  |u Division of Internal Medicine, Department of Biomedical, Metabolic and Neural Sciences, NOCSAE, University of Modena and Reggio Emilia and AUSL Modena, Baggiovara, Modena, Italy  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Romagnoli  |D Dante  |u Division of Internal Medicine, Department of Biomedical, Metabolic and Neural Sciences, NOCSAE, University of Modena and Reggio Emilia and AUSL Modena, Baggiovara, Modena, Italy  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Losi  |D Luisa  |u Department of Pathology, Azienda Ospedaliero-Universitaria Policlinico of Modena, University of Modena and Reggio Emilia, Modena, Italy  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Loria  |D Paola  |u Division of Internal Medicine, Department of Biomedical, Metabolic and Neural Sciences, NOCSAE, University of Modena and Reggio Emilia and AUSL Modena, Baggiovara, Modena, Italy  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Journal of Medical Ultrasonics  |d Springer Japan  |g 42/2(2015-04-01), 251-255  |x 1346-4523  |q 42:2<251  |1 2015  |2 42  |o 10396