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Review Article| Volume 59, ISSUE 4, P603-616, July 2021

Incidental Splenic Findings on Cross-Sectional Imaging

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      References

        • Thompson R.J.
        • Wojcik S.M.
        • Grant W.D.
        • et al.
        Incidental findings on CT scans in the emergency department.
        Emerg Med Int. 2011; 2011https://doi.org/10.1155/2011/624847
        • Onwubiko C.
        • Mooney D.P.
        The prevalence of incidental findings on computed tomography of the abdomen/pelvis in pediatric trauma patients.
        Eur J Trauma Emerg Surg. 2018; 44: 15-18
        • Abbott R.M.
        • Levy A.D.
        • Aguilera N.S.
        • et al.
        From the Archives of the AFIP: primary vascular neoplasms of the spleen: radiologic-pathologic correlation.
        RadioGraphics. 2004; 24: 1137-1163
        • Olpin J.D.
        Current management of the splenic incidentaloma.
        Curr Radiol Rep. 2017; 5: 23
        • Keogan M.T.
        • Freed K.S.
        • Paulson E.K.
        • et al.
        Imaging-guided percutaneous biopsy of focal splenic lesions: update on safety and effectiveness.
        AJR Am J Roentgenol. 1999; 172: 933-937
        • Makrin V.
        • Avital S.
        • White I.
        • et al.
        Laparoscopic splenectomy for solitary splenic tumors.
        Surg Endosc. 2008; 22: 2009-2012
        • Morgan A.E.
        • Berland L.L.
        • Ananyev S.S.
        • et al.
        Extraurinary Incidental findings on CT for hematuria: the radiologist’s role and downstream cost analysis.
        AJR Am J Roentgenol. 2015; 204: 1160-1167
        • Bürrig K.F.
        Epithelial (true) splenic cysts. Pathogenesis of the mesothelial and so-called epidermoid cyst of the spleen.
        Am J Surg Pathol. 1988; 12: 275-281
        • Morgenstern L.
        Nonparasitic splenic cysts: pathogenesis, classification, and treatment1 1No competing interests declared.
        J Am Coll Surg. 2002; 194: 306-314
        • Urrutia M.
        • Mergo P.
        • Ros L.
        • et al.
        Cystic masses of the spleen: radiologic-pathologic correlation.
        RadioGraphics. 1996; 16: 107-129
        • Freeman J.L.
        • Jafri S.Z.
        • Roberts J.L.
        • et al.
        CT of congenital and acquired abnormalities of the spleen.
        RadioGraphics. 1993; 13: 597-610
        • De Backer A.I.
        • Vanhoenacker F.M.
        • Mortelé K.J.
        • et al.
        MRI features of focal splenic lesions in patients with disseminated tuberculosis.
        AJR Am J Roentgenol. 2006; 186: 1097-1102
        • Marani S.A.
        • Canossi G.C.
        • Nicoli F.A.
        • et al.
        Hydatid disease: MR imaging study.
        Radiology. 1990; 175: 701-706
        • Pedrosa I.
        • Saíz A.
        • Arrazola J.
        • et al.
        Hydatid disease: radiologic and pathologic features and complications.
        RadioGraphics. 2000; 20: 795-817
        • Sinner W.N.V.
        • Stridbeck H.
        Hydatid disease of the spleen.
        Acta Radiol. 1992; 33: 459-461
        • Selroos O.
        Fine-needle aspiration biopsy of the spleen in diagnosis of sarcoidosis.
        Ann N Y Acad Sci. 1976; 278: 517-521
        • Taavitsainen M.
        • Koivuniemi A.
        • Helminen J.
        • et al.
        Aspiration biopsy of the spleen in patients with sarcoidosis.
        Acta Radiol. 1987; 28: 723-725
        • Warshauer D.M.
        • Dumbleton S.A.
        • Molina P.L.
        • et al.
        Abdominal CT findings in sarcoidosis: radiologic and clinical correlation.
        Radiology. 1994; 192: 93-98
        • Palmucci S.
        • Torrisi S.E.
        • Caltabiano D.C.
        • et al.
        Clinical and radiological features of extra-pulmonary sarcoidosis: a pictorial essay.
        Insights Imaging. 2016; 7: 571-587
        • Gezer N.S.
        • Başara I.
        • Altay C.
        • et al.
        Abdominal sarcoidosis: cross-sectional imaging findings.
        Diagn Interv Radiol. 2015; 21: 111-117
        • Husni E.A.
        The clinical course of splenic hemangioma: with emphasis on spontaneous rupture.
        Arch Surg. 1961; 83: 681-688
        • Garvin D.F.
        • King F.M.
        Cysts and nonlymphomatous tumors of the spleen.
        Pathol Annu. 1981; 16: 61-80
        • Ros P.R.
        • Moser R.P.
        • Dachman A.H.
        • et al.
        Hemangioma of the spleen: radiologic-pathologic correlation in ten cases.
        Radiology. 1987; 162: 73-77
        • Sangiorgio V.F.I.
        • Arber D.A.
        Vascular neoplasms and non-neoplastic vascular lesions of the spleen.
        Semin Diagn Pathol. 2020; https://doi.org/10.1053/j.semdp.2020.07.001
        • Ferrozzi F.
        • Bova D.
        • Draghi F.
        • et al.
        CT findings in primary vascular tumors of the spleen.
        AJR Am J Roentgenol. 1996; 166: 1097-1101
        • Mortelé K.J.
        Imaging of tumoral conditions of the spleen.
        JBR-BTR. 2000; 83: 213-215
        • Ramani M.
        • Reinhold C.
        • Semelka R.C.
        • et al.
        Splenic hemangiomas and hamartomas: MR imaging characteristics of 28 lesions.
        Radiology. 1997; 202: 166-172
        • Lam K.Y.
        • Yip K.H.
        • Peh W.C.G.
        Splenic vascular lesions: unusual features and a review of the literature.
        Aust N Z J Surg. 1999; 69: 422-425
        • Lee H.
        • Maeda K.
        Hamartoma of the spleen.
        Arch Pathol Lab Med. 2009; 133: 147-151
        • Zissin R.
        • Lishner M.
        • Rathaus V.
        Case report: unusual presentation of splenic hamartoma; computed tomography and ultrasonic findings.
        Clin Radiol. 1992; 45: 410-411
      1. Cystic hamartoma of the spleen: CT and sonographic findings. - Harvard University.
        (Available at:) (Accessed October 4, 2020)
        • Gaetke-Udager K.
        • Wasnik A.P.
        • Kaza R.K.
        • et al.
        Multimodality imaging of splenic lesions and the role of non-vascular, image-guided intervention.
        Abdom Imaging. 2014; 39: 570-587
        • Elsayes K.M.
        • Narra V.R.
        • Mukundan G.
        • et al.
        MR imaging of the spleen: spectrum of abnormalities.
        RadioGraphics. 2005; 25: 967-982
        • Alqahtani A.
        • Nguyen L.T.
        • Flageole H.
        • et al.
        25 Years’ experience with lymphangiomas in children.
        J Pediatr Surg. 1999; 34: 1164-1168
        • Ioannidis I.
        • Kahn A.G.
        Splenic lymphangioma.
        Arch Pathol Lab Med. 2015; 139: 278-282
        • Bhatt S.
        • Huang J.
        • Dogra V.
        Littoral cell angioma of the spleen.
        AJR Am J Roentgenol. 2007; 188: 1365-1366
        • Levy A.D.
        • Abbott R.M.
        • Abbondanzo S.L.
        Littoral cell angioma of the spleen: CT features with clinicopathologic comparison.
        Radiology. 2004; 230: 485-490
        • Bisceglia M.
        • Sickel J.Z.
        • Giangaspero F.
        • et al.
        Littoral cell angioma of the spleen: an additional report of four cases with emphasis on the association with visceral organ cancers.
        Tumori. 1998; 84: 595-599
        • Shah S.
        • Wasnik A.
        • Pandya A.
        • et al.
        Multimodality imaging findings in image-guided biopsy proven splenic littoral cell angioma: series of three cases.
        Abdom Imaging. 2011; 36: 735-738
        • Martel M.
        • Cheuk W.
        • Lombardi L.
        • et al.
        Sclerosing Angiomatoid Nodular Transformation (SANT): report of 25 cases of a distinctive benign splenic lesion.
        J Surg Pathol. 2004; 28: 1268-1279
        • Raman S.P.
        • Singhi A.
        • Horton K.M.
        • et al.
        Sclerosing angiomatoid nodular transformation of the spleen (SANT): multimodality imaging appearance of five cases with radiology–pathology correlation.
        Abdom Imaging. 2013; 38: 827-834
        • Sangiorgio V.F.I.
        • Arber D.A.
        Non-hematopoietic neoplastic and pseudoneoplastic lesions of the spleen.
        Semin Diagn Pathol. 2020; https://doi.org/10.1053/j.semdp.2020.06.004
        • Lewis R.B.
        • Lattin G.E.
        • Nandedkar M.
        • et al.
        Sclerosing angiomatoid nodular transformation of the spleen: CT and MRI features with pathologic correlation.
        AJR Am J Roentgenol. 2013; 200: W353-W360
        • Kaza R.K.
        • Azar S.
        • Al-Hawary M.M.
        • et al.
        Primary and secondary neoplasms of the spleen.
        Cancer Imaging. 2010; 10: 173-182
        • Saboo S.S.
        • Krajewski K.M.
        • O’Regan K.N.
        • et al.
        Spleen in haematological malignancies: spectrum of imaging findings.
        Br J Radiol. 2012; 85: 81-92
        • Fishman E.K.
        • Kuhlman J.E.
        • Jones R.J.
        CT of lymphoma: spectrum of disease.
        RadioGraphics. 1991; 11: 647-669
        • Leite N.P.
        • Kased N.
        • Hanna R.F.
        • et al.
        Cross-sectional imaging of extranodal involvement in abdominopelvic lymphoproliferative malignancies.
        RadioGraphics. 2007; 27: 1613-1634
        • Thompson W.M.
        • Levy A.D.
        • Aguilera N.S.
        • et al.
        Angiosarcoma of the spleen: imaging characteristics in 12 patients.
        Radiology. 2005; 235: 106-115
        • Autry J.R.
        • Weitzner S.
        Hemangiosarcoma of spleen with spontaneous rupture.
        Cancer. 1975; 35: 534-539
        • Schön C.A.
        • Görg C.
        • Ramaswamy A.
        • et al.
        Splenic metastases in a large unselected autopsy series.
        Pathol - Res Pract. 2006; 202: 351-356
        • Abrams H.L.
        The incidence of splenic metastasis of carcinoma.
        Calif Med. 1952; 76: 281-282
        • Lam K.Y.
        • Tang V.
        Metastatic tumors to the spleen.
        Arch Pathol Lab Med. 2000; 124: 5
        • Heller M.T.
        • Harisinghani M.
        • Neitlich J.D.
        • et al.
        Managing incidental findings on abdominal and pelvic CT and MRI, part 3: white paper of the ACR Incidental Findings Committee II on Splenic and Nodal Findings.
        J Am Coll Radiol. 2013; 10: 833-839
        • Siewert B.
        • Millo N.Z.
        • Sahi K.
        • et al.
        The incidental splenic mass at CT: does it need further work-up? an observational study.
        Radiology. 2018; 287: 156-166
        • Hasan H.Y.
        • Hinshaw J.L.
        • Borman E.J.
        • et al.
        Assessing normal growth of hepatic hemangiomas during long-term follow-up.
        JAMA Surg. 2014; 149: 1266-1271
        • Dhyani M.
        • Anupindi S.A.
        • Ayyala R.
        • et al.
        Defining an imaging algorithm for noncystic splenic lesions identified in young patients.
        AJR Am J Roentgenol. 2013; 201: W893-W899
        • Metser U.
        • Miller E.
        • Kessler A.
        • et al.
        Solid splenic masses: evaluation with 18F-FDG PET/CT.
        J Nucl Med. 2005; 46: 52-59