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Splenic cyst.pptx
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aetiologies.
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6. Good for self study also.
7. See notes for bibliography.
11. Pathology
• Primary True cysts
– lined with a squamous epithelium
– congenital.
– These epithelial cells are often positive for
carbohydrate antigen 19-9 (CA19-9) and
carcinoembryonic antigen (CEA)
– may have elevated serum levels of one or both
of these tumor markers.
– However, are benign and apparently do not
have malignant potential beyond that of the
surrounding native tissue.
12. Pathology
• Pseudocysts of the spleen are not lined with
epithelium.
• A history of prior trauma can typically be
elicited.
14. Symptoms
• Asymptomatic and discovered incidentally.
• Abdominal fullness
• Early satiety
• Pleuritic chest pain
• Shortness of breath
• Left shoulder or back pain.
• Renal symptoms from compression of the
left kidney.
24. Operative Therapy
• Total or partial splenectomy .
• Cyst wall resection
• Partial decapsulation
• Partial splenectomy has the advantage of
preserving splenic function; 25% of the
spleen is sufficient to protect against
pneumococcal pneumonia.
• Hydatid –Splenectomy /PAIR.
• Small cysts can be observed.
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