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May 1977

Epidermoid Splenic Cysts

Author Affiliations

From the Departments of Surgical Services (Drs Ross and Lucas), Radiology (Dr Ellwood), and Pathology (Dr Yang), William Beaumont Hospital, Royal Oak, Mich.

Arch Surg. 1977;112(5):596-599. doi:10.1001/archsurg.1977.01370050056009

• Five young women were treated by splenectomy for epidermoid cysts of the spleen. They all had vague abdominal symptoms, and had a mass palpable in the left upper quadrant of the abdomen. The hematologic indices were unremarkable. The diagnosis was suggested by routine radiologic examinations (including chest roentgenogram, upper gastrointestinal x-ray series, barium enema, and excretory urogram). It was confirmed in one patient by gray-scale ultrasonography, and in another by selective splenic arteriography. Of the true cysts of the spleen, the epidermoid cyst is the rarest, representing 10% of the benign, nonparasitic cysts. The symptoms are completely relieved by splenectomy, and this remains the treatment of choice.

(Arch Surg 112:596-599, 1977)

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