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World J Clin Cases. 2016 Dec 16;4(12):385-389. doi: 10.12998/wjcc.v4.i12.385.

Primary splenic lymphoma: Current diagnostic trends.

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Sachin B Ingle, Department of Pathology, MIMSR Medical College, Latur, Maharashtra 4132512, India.


The primary splenic lymphoma is extremely uncommon, can present with grave complications like hypersplenism and splenic rupture. In view of vague clinical presentation, it is difficult to arrive at the diagnosis. In such circumstances, histopathological diagnosis is very important. A precise diagnosis can only be made on histopathology and confirmed on immunohistochemistry.Emergency splenectomy is preferred as an effective therapeutic and diagnostic tool in cases with giant splenomegaly. Core biopsy is usually not advised due to a high risk of post-core biopsy complications in view of its high vascularity and fragility. Aim behind highlighting the topic is to specify that core biopsy/ fine needle aspiration cytology can be used as an effective diagnostic tool to arrive at correct diagnosis to prevent untoward complications related to disease and treatment. Anticoagulation therapy is vital after splenectomy to avoid portal splenic vein thrombosis.


Biopsy; Immunohistochemistry; Splenic lymphoma

Conflict of interest statement

Conflict-of-interest statement: All the authors hereby declare that they have no any conflicts of interests.

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