The Progress in diagnosis and treatment of splenic hemangioma

doi:10.3877/cma.j.issn.1674-3946.2021.01.033

Abstract

Abstract:

Splenic hemangioma is the most common pathological type of splenic tumor. Its diagnosis mainly depends on imaging examination. With the development of instruments, the positive rate of splenic hemangioma is increasing, however the accurate rate of diagnosis still needs to be improved. There are some inspection means that have advantages in the differential diagnosis of lesions, such as Enhanced MRI, contrast-enhanced ultrasound, pathological biopsy and so on. The indications and surgical treatment of splenic hemangioma have always been controversial. There was only open splenectomy in the past. In recent years, the concept of " protecting the spleen" and " minimally invasive" has gradually become the mainstream, and some new therapeutic treatments such as partial splenectomy and splenic hemangioma ablation have emerged, but the selection of different methods has not yet formed a unified standard. The current diagnosis and treatment progress of splenic hemangioma has been reviewed in this paper.

Key words: Hemangioma, Spleen, Diagnosis, Treatment

Feng Qi, Chaoliu Dai. The Progress in diagnosis and treatment of splenic hemangioma[J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2021, 15(01): 114-116.

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References 51

[37]	Kondo H, Takahashi N, Gotoh K, et al. Splenectomy exacerbates atrial inflammatory fibrosis and vulnerability to atrial fibrillation induced by pressure overload in rats: Possible role of spleen-derived interleukin-10[J]. Heart Rhythm，2016，13(1): 241-250.
[38]	Zheng CH, Xu M, Huang CM，et al. Anatomy and influence of the splenic artery in laparoscopic spleen-preserving splenic lymphadenectomy[J]．World J Gastroenterol，2015，21(27): 8389-8397.
[39]	Chen J, Yu S, Xu LT，Laparoscopic Partial Splenectomy: A Safe and Feasible Treatment for Splenic Benign Lesions[J]．Surg Laparosc Endosc Percutan Tech，2018，28(5): 287-290.
[40]	Wang X, Wang MJ, Zhang H，et al. Laparoscopic partial splenectomy is safe and effective in patients with focal benign splenic lesion[J]．Surg Endosc，2014，28(12): 3273-3278.
[41]	Cai H, An Y, Wu D，et al. Laparoscopic Partial Splenectomy: A Preferred Method for Select Patients[J]．J Laparoendosc Adv Surg Tech A，2016，26(12): 1010-1014.
[42]	Wang L, Xu JW, Li F，et al. Partial Splenectomy is Superior to Total Splenectomy for Selected Patients with Hemangiomas or Cysts[J]．World J Surg，2017，41(5): 1281-1286.
[43]	de la Villeon B, Le Bian AZ, Vuarnesson H，et al. Laparoscopic partial splenectomy: a technical tip[J]．Surg Endosc, 2015，29(1): 94-99.
[44]	Zheng L, Deng C, Li J, et al. Treatment of hemangioma of the spleen by preoperative partial splenic embolization plus laparoscopic partial splenectomy: A case report[J]. Medicine (Baltimore)，2018, 97(17): e0498.
[45]	Dandin O, Teomete U, Osman O, et al. Automated segmentation of the injured spleen [J]. Int J Comput Assist Radiol Surg，2016，11(3): 351-368.
[46]	Dong CH, Chen YW, Foruzan AH，et al. Segmentation of liver and spleen based on computational anatomy models[J]．Comput Biol Med，2015，67: 146-160.
[47]	Trias M, Targarona EM, Balague C. Laparoscopic splenectomy: an evolving technique. A comparison between anterior and lateral approaches [J]. Surg Endosc，1996，10(4): 389-392.
[48]	Fan Y, Liu YY, Wang P, et al. Study on the efficacies of splenic pedicle transection by using manual manipulation and Endo-GIA procedure for laparoscopic splenectomy[J]. Int J Clin Exp Med, 2015, 8(10): 19430-19435.
[49]	Yu J, Liang P, Yu XL，et al. [Clinical evaluation of ultrasound-guided percutaneous microwave ablation of splenic tumors][J]．Nan Fang Yi Ke Da Xue Xue Bao，2015，35(3): 333-337.
[50]	Liu QD, Song Y, Zhou NX，et al. Radiofrequency ablation of splenic tumors: a case series[J]．J Gastrointestin Liver Dis，2013，22(1): 105-108.
[51]	Choi W, Choi YB. Splenic embolization for a giant splenic hemangioma in a child: a case report[J]. BMC Pediatr，2018，18(1): 354.
[1]	Vancauwenberghe T, Snoeckx A, Vanbeckevoort D，et al. Imaging of the spleen: what the clinician needs to know[J] .Singapore Med J，2015, 56(3): 133-144.
[2]	Willcox TM, Speer RW, Schlinkert RT, et al. Hemangioma of the spleen: presentation, diagnosis, and management[J]. J Gastrointest Surg，2000, 4(6): 611-613.
[3]	Chatzoulis G, Kaltsas A, Daliakopoulos S，et al. Co-existence of a giant splenic hemangioma and multiple hepatic hemangiomas and the potential association with the use of oral contraceptives: a case report[J] .J Med Case Rep，2008，2: 147.
[4]	Kato M, Lubitz C, Finley D，et al. Splenic cord capillary hemangioma and anemia: resolution after splenectomy[J] .Am J Hematol，2006，81(7): 538-542.
[5]	Kim JH, Chung HS, Kim JH，et al. Splenic artery aneurysm with the double-rupture phenomenon[J] .Clin Exp Emerg Med，2017，4(2): 113-116.
[6]	Bizueto-Rosas H, Barajas-Colon JA, Delgadillo-de la OI，et al. [Multiple aneurysms splenic; surgical exclusion with conservation of the spleen][J] .Cir Cir，2016，84(1): 58-64.
[7]	Gorg C, Gorg K, Bert T，et al. Colour Doppler ultrasound patterns and clinical follow-up of incidentally found hypoechoic, vascular tumours of the spleen: evidence for a benign tumour[J]．Br J Radiol，2006，79(940): 319-325.
[8]	Tetreau R, Beziat C, Marion D，et al. [Capillary hemangioma of the spleen on conventional and contrast-enhanced US][J] .J Radiol, 2006, 87(5): 575-577.
[9]	Choi SY, Kim SH, Jang KM, et al. The value of contrast-enhanced dynamic and diffusion-weighted MR imaging for distinguishing benign and malignant splenic masses[J]. Br J Radiol, 2016, 89(1063): 20160054.
[10]	Jang S, Kim JH, Hur BY, et al. Role of CT in Differentiating Malignant Focal Splenic Lesions[J]. Korean J Radiol, 2018，19(5): 930-937.
[11]	Stang A, Keles H, Hentschke S, et al. Incidentally detected splenic lesions in ultrasound: does contrast-enhanced ultrasonography improve the differentiation of benign hemangioma/hamartoma from malignant lesions? [J]. Ultraschall Med, 2011, 32(6): 582-592.
[12]	Abbott RM, Levy AD, Aguilera NS, et al. From the archives of the AFIP: primary vascular neoplasms of the spleen: radiologic-pathologic correlation[J]. Radiographics, Inc, 2004, 24(4): 1137-1163.
[13]	Luna A, Ribes R, Caro P, et al. MRI of focal splenic lesions without and with dynamic gadolinium enhancement[J]. AJR Am J Roentgenol, 2006, 186(6): 1533-1547.
[14]	Taibbi A, Bartolotta TV, Matranga D, et al. Splenic hemangiomas: contrast-enhanced sonographic findings[J]．J Ultrasound Med, 2012, 31(4): 543-553.
[15]	Yu XL, Yu J, Liang P，et al. Real-time contrast-enhanced ultrasound in diagnosing of focal spleen lesions[J] .Eur J Radiol, 2012, 81(3): 430-436.
[16]	Xu H, Zhang X-H, Wang K, et al. [Diagnostric Value of Contrast-enhanced T2 Fluid-attenuated Inversion Recovery Imaging for Splenic Hemangioma：A Case Report][J]. Zhongguo Yi Xue Ke Xue Yuan Xue Bao, 2018, 40(4): 573-576.
[17]	Chiavaroli R, Grima P, Tundo P. Characterization of nontraumatic focal splenic lesions using contrast-enhanced sonography[J]. J Clin Ultrasound, 2011, 39(6): 310-315.
[18]	Schwarze V, Lindner F, Marschner C，et al. Single-center study: The diagnostic performance of contrast-enhanced ultrasound (CEUS) for assessing focal splenic lesions compared to CT and MRI[J] .Clin Hemorheol Microcirc，2019，73(1): 65-71.
[19]	Olson MC, Atwell TD, Harmsen WS, et al. Safety and Accuracy of Percutaneous Image-Guided Core Biopsy of the Spleen[J]. AJR Am J Roentgenol，2016，206(3): 655-659.
[20]	Lopez JI, Del Cura JL, De Larrinoa AF，et al. Role of ultrasound-guided core biopsy in the evaluation of spleen pathology[J]．APMIS，2006，114(7-8): 492-499.
[21]	Werner T, Koch J, Frenzel C，et al. Effectiveness and safety of minilaparoscopy-guided spleen biopsy: a retrospective series of 57 cases[J]．Surg Endosc，2012，26(9): 2416-2422.
[22]	Hudson JB, Murad FM, Kunkel JE，et al. Endoscopic ultrasound guided fine-needle aspiration of a splenic hemangioma with extramedullary hematopoiesis[J]．Diagn Cytopathol，2013, 41(12): 1086-1090.
[23]	Nagarajan P, Cai G, Padda MS，et al. Littoral cell angioma of the spleen diagnosed by endoscopic ultrasound-guided fine-needle aspiration biopsy[J]．Diagn Cytopathol，2011，39(5): 318-322.
[24]	Velkova K, Nedeva A．Our experience in the diagnostics of liver and spleen hemangiomas[J]．Folia Med (Plovdiv)，1997，39(1): 85-91.
[25]	Smeets P, Mees G, Ham H, et al. [18F]FDG PET/CT for the assessment of the volume of the spleen[J]. Q J Nucl Med Mol Imaging，2016，60(1): 48-53.
[26]	HUSNI EA.The clinical course of splenic hemangioma with emphasis on spontaneous rupture[J]．Arch Surg，1961，83: 681-688.
[27]	Martinez-Leo B, Vidal-Medina J, Cervantes-Ledezma J, et al. Spontaneous Rupture of Splenic Hemangioma in a Neonate[J]. J Neonatal Surg, 2016, 5(3): 36.
[28]	Yagmur Y, Akbulut S, Gumus S，et al. Giant Splenic Artery Pseudoaneurysm: A Case Report and Literature Review[J]．Int Surg, 2015，100(7-8): 1244-1248.
[29]	Yano H, Imasato M, Monden T，et al. Hand-assisted laparoscopic splenectomy for splenic vascular tumors: report of two cases[J]．Surg Laparosc Endosc Percutan Tech，2003，13(4): 286-289.
[30]	Han XL, Zhao YP, Chen G, et al. Laparoscopic partial splenectomy for splenic hemangioma: experience of a single center in six cases [J]．Chin Med J (Engl), 2015，128(5): 694-697.
[31]	Makrin V, Avital S, White I，et al. Laparoscopic splenectomy for solitary splenic tumors[J]．Surg Endosc，2008，22(9): 2009-2012.
[32]	Taher R, Tawfeeq M．Single-port laparoscopic splenectomy for idiopathic thrombocytopenic purpura[J]．Ann Saudi Med, 2011，31(6): 655-656.
[33]	Kato Y, Kato R, Takayama M，et al. Single-stage laparoscopic surgery for bilateral organ tumors using a transumbilical approach with a zigzag incision: a report of two cases[J]．BMC Urol, 2018，18(1): 28.
[34]	Altaf AMS, Ellsmere J, Jaap Bonjer H, et al. Morbidity of hand-assisted laparoscopic splenectomy compared to conventional laparoscopic splenectomy: a 6-year review[J]. Can J Surg, 2012, 55(4): 227-232.
[35]	Kakisaka T, Kamiyama T, Yokoo H，et al. Hand-assisted laparoscopic splenectomy for sclerosing angiomatoid nodular transformation of the spleen complicated by chronic disseminated intravascular coagulation: a case report[J]．Asian J Endosc Surg，2014，7(3): 275-278.
[36]	Balaphas A, Buchs NC, Meyer J，et al. Partial splenectomy in the era of minimally invasive surgery: the current laparoscopic and robotic experiences[J]．Surg Endosc，2015，29(12): 3618-3627.

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