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Non Parasitic Splenic Cysts- Study of 4 Cases

DOI : https://doi.org/10.36349/EASMS.2019.v02i11.003
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Objective: Splenic cysts are very rare with reported incidence of only 0.07% in a large autopsy study.It can be either primary or secondary cyst.The purpose of this paper is to describe the various cystic lesions of the spleen diagnosed in the Department of Pathology, Government Medical College, Kottayam. Methods: All splenic lesions received in our department between January 2016 and January 2018 were retrieved and reviewed for splenic cysts. There were 4 cases of splenic cysts. The history, radiological findings, all the relevant investigations and treatment given were collected. All histological materials were reviewed in detail. Results: Among 4 cases, 3 were primary epithelial splenic cyst and 1 case was secondary (pseudocyst) splenic cyst. Primary epithelial cyst showed cyst wall lining by cuboidal / squamous epithelium. In secondary cyst there was no definite lining epithelium. Conclusion: Splenic cysts are rare with only 4 cases diagnosed in our department for the past 2 years. The etiological diagnosis of the cysts is not easy always. It is usually arrived from the exclusion of infectious causes (bacterial, parasitic), exclusion of trauma and neoplastic disorders. Splenectomy was the treatment of choice in the past. Nowadays it is replaced by conservative surgeries.

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Dr. Afroza Begum

Lecturer, Dept. of Pharmacology and Therapeutics, Shaheed Monsur Ali Medical College & Hospital, Uttara, Dhaka-1230, Bangladesh

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