Primary splenic leiomyosarcoma - case report and literature review.

Primary tumors of the spleen are rarely encountered in clinical practice and their diagnosis often requires invasive procedures (splenectomy). Leiomyosarcomas are rare tumors originating from smooth muscle cells or their precursor mesenchymal cells and as such can arise in any organs, most typically abdominal ones. Only a few cases of leiomyosarcomas of the spleen have been described in literature. We present the case of a 69 year-old, a previously healthy patient, with non-specific symptoms, diagnosed on CT scan with multiple splenic, hepatic and bone tumors. Biopsy from one of the liver tumors revealed the diagnosis of leiomyosarcoma. Due to characteristic aspects on contrast-enhanced ultrasonography and CT scan we concluded that the primary tumor was located in the spleen, while the others represented metastases.

WFUMB Position Paper-Incidental Findings, How to Manage: Spleen.

The World Federation for Ultrasound in Medicine and Biology (WFUMB) is addressing the issue of incidental findings (IFs) with a series of publications entitled "Incidental Imaging Findings-The Role of Medical Ultrasound." IFs are less commonly encountered in the spleen than in many other abdominal organs but remain a frequent dilemma in clinical practice. A histological diagnosis is rarely necessary for patient management. Many IFs, such as secondary spleens and splenic cysts, are harmless and do not require any further investigation. The diagnosis of many other focal splenic lesions is, however, often problematic. The following overview is intended to illustrate a variety of incidentally detected spleen pathologies such as size variants, shape variants, secondary spleens, focal splenic lesions and splenic calcifications. It should aid the examiner in establishing the diagnosis. Moreover, it should help the ultrasound practitioner decide which pathologies need no further investigation, those requiring interval imaging and cases in which immediate further diagnostic procedures are required.