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Chin Med J (Taipei) 1997;60:113-6.

Huge Splenic Epidemoid Cyst: A Case Report

Hung-Bun Lam, Tsang-Pai Liu, Kuo-Shyang Jeng

Division of General Surgery, Mackay Memorial Hospital, Taipei, Taiwan, R.O.C.


Abstract

A case is reported of splenic epidermoid cyst discovered in a 21-year-old female. The lesion was shown by abdominal ultrasonography and computed tomography to be 14x12x8 cm in size and to contain serous fluid in the lumen. The spleen was easily removed by surgery. Histopathologically, the epidermoid cyst was composed of a loosely fibrous wall and a single layer interior lining of flattened or low-cuboidal epithelium, without skin appendages. The remaining splenic tissue showed mild congestive change with thickened sinusoidal stroma. Most splenic cysts have presented with symptoms related to both the size of the mass and compression of an adjacent organ. Potential complications include hemorrhage, infection, and rupture of the splenic cyst. Splenectomy is recommend to eradicate symptoms produced by the cyst and to prevent potential complications.

[Chin Med J (Taipei) 1997;60:113-6.]

Keywords: splenectomy , splenic epidermoid cyst

Received: March 31, 1996.

Accepted: June 19, 1997.

Address reprint requests to: Hung-Bun Lam, Division of General Surgery, Mackay Memorial Hospital, No. 92, Sec. 2, North Chung San Road, Taipei, Taiwan, R.O.C.



Copyright: 1997, Chinese Medical Association (Taipei)