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J Turk Ger Gynecol Assoc. 2011 Jun 1;12(2):130-2. doi: 10.5152/jtgga.2011.30. eCollection 2011.

Pelvic splenosis mimicking ovarian metastasis of breast carcinoma: a case report.

Author information

1
Department of Gynecology, Ankara Oncology Education and Research Hospital, Ankara, Turkey.
2
Department of Surgery, Ankara Oncology Education and Research Hospital, Ankara, Turkey.
3
Department of Pathology, Ankara Oncology Education and Research Hospital, Ankara, Turkey.

Abstract

in English, Turkish

Splenosis is the heterotopic autotransplantation of splenic tissue that usually follows traumatic splenic rupture and splenectomy. Implanted splenic tissue may give rise to a mass or masses in the chest, abdomen, or pelvis which the clinician must distinguish from benign or malignant tumors. A 38-year-old multiparous woman presented for a routine gynecological examination during breast cancer treatment. She had undergone splenectomy following traumatic splenic rupture at the age of 13. Pelvic examination revealed a left adnexal mass. Transvaginal ultrasonography showed a 39×56×40 mm diameter hyperechoic, hypervascular solid tumor on the left ovary. Total abdominal hysterectomy and bilateral salpingo-oophorectomy was performed. The postoperative histological diagnosis was splenic tissue. Splenosis must be considered in the differential diagnosis of previosly splenectomized patients who present with unexplained masses.

KEYWORDS:

Splenosis; adnexal mass; splenectomy

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