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A Journal on Surgery

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Chirurgia 2008 October;21(5):299-302

language: English

A true epithelial nonparasitic splenic cyst producing high serum concentration of CA 19-9

Bini A., Brandolini J., Cassanelli N., Davoli F., Dolci G., Sellitri F., Stella F.

Department of General and Thoracic Surgery S. Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy


Splenic cysts are very rare and they usually appear as a mass in the left upper abdominal quadrant of a patient with or without history of abdominal trauma. Splenic cysts are classified as primary or “true” cysts when there is the presence of a cellular lining of the cystic wall; on the contrary they are classified as secondary or “false” cysts when there is the absence of the cellular lining of the cystic wall. Several case of true splenic cyst with high levels of CA 19-9 have been reported; we report a case of a splenic cyst of 6 cm in diameter, causing an elevated serum concentration of CA 19-9 in a female 29-years old patient; histologic examination revealed a true spleinc cysts. A single true splenic cyst is rare; moreover true splenic cyst causing high serum CA 19-9 is a very rare condition, as we described.

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