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Epithelial Cyst of Spleen

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Epithelial (True) Cyst of Spleen: This splenectomy specimen is from a 40 y/o male who presented with left upper quadrant pain and low-grade fever of brief duration. There was no history of trauma. Ultrasonography showed a hyperechoic lesion suggestive of a post-traumatic cyst or an abscess. On CT scan, there was a well-defined hypodense lesion with no solid component or septae.

The splenectomy specimen measured 16.5 x 12 x 11 cm and weighed 650 grams. The surface had a bulging yellow-white area as shown in this photograph. The specimen contained a 9.0 cm unilocular cyst filled with about 300 ml of straw-colored fluid. The inner wall was greyish-white and heavily trabeculated (see next image). The cyst lining was composed of low cuboidal epithelium.

Case courtesy of: Dr. Sanjay D. Deshmukh (Professor of Pathology) & Dr. J. M. Gadekar (Chief of Surgery Dept.), Dr. Vithalrao Vikhe Patil Medical College & Hospitals, Ahmednagar, India.

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