Table of Contents
What is a large splenic cyst?
Cystic lesions of the spleen include benign cysts, neoplasms and abscesses. Splenic cysts have been classified by Martin et al. [1] Type I cysts are true (primary) cysts with a cellular lining of parasitic or non parasitic origin. Non parasitic type I splenic cysts are further classified as congenital or neoplastic.
How big can a spleen cyst get?
Splenic cysts Symptomatic cysts are usually greater than 8 cm. Small (<5 cm) simple cysts can be observed; however, larger, enlarging, or symptomatic cysts require definitive treatment. Percutaneous aspiration and sclerosis have been used, but recurrence is common and partial splenectomy has been required.
What happens if you have a cyst on your spleen?
Often, true splenic cysts are asymptomatic and found incidentally. When symptomatic, patients may complain of vague upper abdominal fullness and discomfort, early satiety, pleuritic chest pain, shortness of breath, left back or shoulder pain, or urinary symptoms due to compression of the left kidney.
When should a splenic cyst be removed?
Especially in the case of posttraumatic splenic cysts, according to Balzan et al,12 cysts should be managed surgically when complications develop or when their diameter is >4cm. At that size, complications are more likely to occur.
Are splenic cysts cancerous?
Primary malignant neoplasms involving the spleen are lymphoma and angiosarcoma. Primary benign neoplasms involving the spleen include hemangioma, lymphangioma, littoral cell angioma and splenic cyst and solid lesions such as hamartoma and inflammatory pseudotumor.
Can a splenic cyst rupture?
Splenic cysts are a relatively rare event; moreover, complications due to rupture are extremely rare. A ruptured splenic cyst causes sudden onset of severe peritonitis with elevated serous tumor markers.
Why would you get a cyst on your spleen?
Splenic cysts can be divided into true epidermoid cysts (lined by epithelium) and secondary cysts resulting from hemorrhage, infection (hydatid disease), or infarction. The most common cause of a splenic cyst is trauma, followed by hydatid disease (Fig. 5-22).
How rare is a splenic cyst?
Nowadays, splenic cysts are known as rare clinical condition with 0.07% incidence in general population. According to the presence or absence of cellular epithelial lining, these cysts are classified into primary (true) and secondary (false) cysts.
What is the treatment for a cyst on the spleen?
They can be managed by partial splenectomy, decapsulation, cyst fenestration, or unroofing of the cyst. The other technique that can be used in patients who are of prohibitive surgical risk is “PAIR” which stands for Puncture of cyst, Aspiration of cyst contents, Injection to sterilize the cyst, and Re-aspiration.
How rare is a spleen cyst?
Splenic cysts are rare with around 800 cases reported in the world literature [1]. Cysts of the spleen can be classified as parasitic and non-parasitic. Non-parasitic cysts can be further classified as true cysts and pseudocysts.