CT findings of splenic cystic lesions / 实用放射学杂志

ABSTRACT

Objective To explore the CT features of splenic cystic lesions(SCL)in order to improve the diagnostic ability of these diseases.Methods The CT findings of 32 patients with SCL proved by surgical pathology were reviewed retrospectively.Of the patients,10 underwent plain CT scan,8 underwent enhanced CT scan,and 14 underwent both plain and enhanced CT scan.Results Non-tumor splenic cystic lesions were 19,including 7 congenital cysts,1 pseudocyst,1 hydatid cyst,2 abscesses and 8 hematomas.Spleen tumor lesions were 13,including 5 angiomas,2 splenic cystic lymphangiomas and 6 cystic metastases.The CT characteristics in size,shape, cyst wall,density and enhancement feature can help to discriminate non-neoplasm and neoplasm cyst.Conclusion With the plain and enhanced CT manifestations of some SCL,we could make correct preoperative diagnosis,and provide theoretical basis for selection of clinic treatment and prognostic judgment.