Diagnosis of an Accessory Spleen Mimicking a Gastric Submucosal Tumor Using Endoscopic Ultrasonography-guided Fine-needle Aspiration.
10.4166/kjg.2012.59.6.433
- Author:
Ji Yong AHN
1
;
Hwoon Yong JUNG
;
Do Hoon KIM
;
Kee Don CHOI
;
Ho June SONG
;
Gin Hyug LEE
;
Jin Ho KIM
;
Hee Sang HWANG
Author Information
1. Department of Gastroenterology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. hyjung@amc.seoul.kr
- Publication Type:Case Reports
- Keywords:
Endoscopy;
Spleen;
Endosonography;
Fine-needle biopsy
- MeSH:
Adult;
Antigens, CD34/metabolism;
Biopsy, Fine-Needle;
Endosonography;
Female;
Gastroscopy;
Humans;
Immunohistochemistry;
Splenic Diseases/pathology;
Stomach Neoplasms/*diagnosis/pathology;
Tomography, X-Ray Computed
- From:The Korean Journal of Gastroenterology
2012;59(6):433-436
- CountryRepublic of Korea
- Language:English
-
Abstract:
Accessory spleen can be mistaken as a gastric subepithelial mass, and may not be differentiated in CT or endoscopic ultrasonography (EUS). A gastric subepithelial mass was detected on routine endoscopy in a 39-year old woman with history of splenectomy. In subsequent CT and EUS, the subepithelial mass was located on the fourth layer of the stomach. To make a definite diagnosis, EUS-guided fine needle aspiration (FNA) was performed, and a splenic tissue was demonstrated in histologic examination. EUS-guided FNA can be beneficial in the diagnosis of accessory spleen which mimics a gastric subepithelial mass.
