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July 1958

Epidermoid Cyst of the Spleen: Report of a Case

Author Affiliations

Dallas, Texas

AMA Arch Surg. 1958;77(1):10-12. doi:10.1001/archsurg.1958.01290010012002

The first reported case of epidermoid cyst of the spleen appeared in 1929.19 This represents only one variety of Fowler's classification of 265 recorded cases (to May, 1952) of splenic cysts.6

Fowler's pathogenic classification of nonparasitic benign cysts follows:

I. Primary with cellular lining; component endothelium

1. Congenital

2. Traumatic

3. Inflammatory

(a) Infoliation cysts

(b) Dilatation cysts: lymphangiectatic, polycystic disease

4. Neoplastic cysts (also congenital)

(a) Epidermoid

(b) Dermoid } noncomponent, epithelium

(c) Lymphangioma

(d) Benign, cavernous, and capillary hemangioma

II. Secondary; no cellular lining

1. Traumatic (blood and serous types)

2. Degenerative (liquefaction)

3. Inflammatory (necrosis, tuberculosis)

Report of Case  A woman aged 33, secundipara, secundigravida, first became aware of soreness in her left rib cage on washing windows, in February, 1950. She was examined at that time, and it was thought that an enlarged spleen was palpable. A K. U. B. film was obtained, which demonstrated

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