1. Littoral Cell Angioma of the Spleen
- Author
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Hong Ding, Han-Sheng Xia, Wen-Ping Wang, Xiu-Nan Wang, Yun-hua Zhang, and Limin Liu
- Subjects
Adult ,Male ,medicine.medical_specialty ,Splenic Neoplasm ,Spleen ,Hemangioma ,Lesion ,medicine ,Humans ,Radiology, Nuclear Medicine and imaging ,Ultrasonography, Doppler, Color ,Retrospective Studies ,Radiological and Ultrasound Technology ,business.industry ,Splenic Neoplasms ,Middle Aged ,medicine.disease ,medicine.anatomical_structure ,Homogeneous ,Littoral cell angioma ,Female ,Color flow ,Radiology ,medicine.symptom ,business ,Arterial phase - Abstract
Objectives The purpose of this study was to evaluate the sonographic and pathologic features of littoral cell angioma of the spleen in 7 patients. Methods The sonographic appearance in 7 cases of littoral cell angioma confirmed by surgical pathologic examination was retrospectively reviewed. All underwent color Doppler imaging. Two underwent contrast-enhanced sonography. The sonographic appearance was compared with pathologic findings. Results Splenic lesions were solitary in 5 cases and multiple in 2 cases. The masses ranged from 10 to 64 mm in maximum diameter. Five hypoechoic and 2 hyperechoic lesions on grayscale sonography corresponded to few and multiple blood-filled spaces on pathologic examination, respectively. Four hypovascular lesions, 1 hypervascular lesion, and the other 2 hypervascular lesions full of color flow signals on color Doppler imaging corresponded to few, several, and multiple arteries on pathologic examination. On contrast-enhanced sonography, 1 hypervascular lesion full of color flow signals showed homogeneous hyperenhancement for 8 minutes during the arterial and parenchymal phases. One hypovascular lesion showed inhomogeneous isoenhancement transiently during the arterial phase and became hypoechoic later. Conclusions Littoral cell angioma is a primary vascular splenic neoplasm with variable features on grayscale sonography and color Doppler imaging as well as contrast-enhanced sonography. The sonographic appearance of littoral cell angioma mainly depends on the type and number of tumor vessels.
- Published
- 2013
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