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December 7, 1984

Calcified Hemangioma of the Spleen

Author Affiliations

University of Colorado School of Medicine Denver

JAMA. 1984;252(21):2959-2960. doi:10.1001/jama.1984.03350210015015

To the Editor.—  Hemangioma is the most common benign neoplasm of the spleen. Calcification has been documented in only three reports from the European literature.1-3 Recognition of the characteristic trabeculations radiating from a common center in a calcified hemangioma can avert splenectomy.

Report of a Case.—  A 49-year-old man two months previously had roentgenograms of the spine taken for low-back pain after a fall. A densely calcified, radially trabeculated mass in the left upper quadrant of the abdomen was seen (Figure).The patient was asymptomatic and his examination results were normal. The hematocrit value, leukocyte and platelet counts, and serum calcium, alkaline phosphatase, and serum amylase levels were normal, as were urinalysis results, including the Bence-Jones protein level.Roentgenographically, the mass measured 850 Hounsfield units and was localized to the upper pole of the spleen on abdominal computed tomography. On a technetium Tc 99m diphosphonate bone scan, increased activity