Annals of Diagnostic Pathology
Volume 11, Issue 4 , Pages 277-281 , August 2007

Accessory spleen presenting as a mass in the tail of the pancreas

  • Gary Tozbikian, BS

      Affiliations

    • Department of Pathology, The Ohio State University, Columbus, OH 43210, USA
  • ,
  • Mark Bloomston, MD

      Affiliations

    • Department of Surgery, The Ohio State University, Columbus, OH 43210, USA
  • ,
  • Robert Stevens, MD

      Affiliations

    • Department of Radiology, The Ohio State University, Columbus, OH 43210, USA
  • ,
  • E. Christopher Ellison, MD

      Affiliations

    • Department of Surgery, The Ohio State University, Columbus, OH 43210, USA
  • ,
  • Wendy L. Frankel, MD

      Affiliations

    • Department of Pathology, The Ohio State University, Columbus, OH 43210, USA
    • Corresponding Author InformationCorresponding author. Tel.: +1 614 293 8496.

References 

  1. Lauffer JM, Baur HU, Maurer CA, et al. Intrapancreatic accessory spleen, a rare cause of a pancreatic mass. Int J Pancreatol. 1999;25(1):65–68
  2. Halpert B, Alden ZA. Accessory spleens in or at the tail of the pancreas: a survey of 2700 additional necropsies. Arch Pathol. 1964;77:652–654
  3. Halpert B, Gyorkey F. Lesions observed in accessory spleens of 311 patients. J Clin Pathol. 1959;32:165–168
  4. Federle MP. The spleen. In:  Moss AA,  Gamsu G,  Genant HK, et al. editor. Computed tomography of the body with magnetic resonance imaging. 2nd ed. Philadelphia (Pa): Saunders; 1992;p. 1059–1090
  5. Stiris MG. Accessory spleen versus left adrenal tumor: computed tomographic and abdominal angiographic evaluation. J Comput Assist Tomogr. 1980;4:543–544
  6. Sica GT, Reed MF. Case27: intrapancreatic accessory spleen. Radiology. 2000;217:134–137
  7. Ota T, Ono S. Case report intrapancreatic accessory spleen: diagnosis using contrast enhanced ultrasound. Br J Radiol. 2004;77:148–149
  8. Hayward I, Mindelzun R, Brook R. Intrapancreatic accessory spleen mimicking pancreatic mass on CT. J Comput Assist Tomogr. 1992;16(6):984–985
  9. Ota T, Tei M, Yoshioka A, et al. Intrapancreatic accessory spleen diagnosed by technetium-99m heat-damaged red blood cell SPECT. J Nucl Med. 1997;38(3):494–495
  10. Boraschi P, Donati R, Volpi A, et al. Intrapancreatic accessory spleen: diagnosis with RES-specific contrast-enhanced MRI. AJR Am J Roentgenol. 2005;184:1712–1713
  11. Churei H, Inoue H, Nakajo M. Intrapancreatic accessory spleen: case report. Abdom Imaging. 1998;23:191–193
  12. Noone TC, Hosey J, Firat Z, et al. Imaging and localization of islet cell tumours of the pancreas on CT and MRI. Best Pract Res Clin Endocrinol Metab. 2005;19:195–211
  13. Scott J, Martin I, Redhead D, et al. Mucinous cystic neoplasms of the pancreas: imaging features and diagnostic difficulties. Clin Radiol. 2000;55:187–192
  14. Thomson LD, Becker RC, Pyzygodzki RM, et al. Mucinous cystic neoplasm (mucinous cyst adenocarcinoma of low-grade malignant potential) of the pancreas: a clinicopathologic study of 130 cases. Am J Surg Pathol. 1999;23:1–16
  15. Mergo PH, Helmberger TK, Buetow PC, et al. Pancreatic neoplasms: MR imaging and pathologic correlation. Radiographics. 1997;17:281–301
  16. Klein KA, Stephens DH, Welch TJ. CT characteristics of metastatic disease of the pancreas. Radiographics. 1998;18:369–378
  17. Ohtomo K, Furui S, Onoue M, et al. Solid and papillary epithelial neoplasm of the pancreas: MR imaging and pathologic correlation. Radiology. 1992;184:567–570
  18. Beutow PC, Buck JL, Pantongrag-Brown L, et al. Solid and papillary epithelial neoplasm of the pancreas: imaging-pathologic correlation in 56 cases. Radiology. 1996;199:707–711
  19. Friedman AC. Pancreatic neoplasms and cysts. In:  Friedman AC,  Dachman A editor. Radiology of the liver, biliary tract, and pancreas. St Louis (Mo): Mosby-Year Book; 1994;p. 807–934
  20. Ellison EC, Sparks J, Verducci JS, et al. 50-Year appraisal of gastrinoma: recommendations for staging and treatment. J Am Coll Surg. 2006;202(6):897–905
  21. Buetow PC, Parrino TV, Buck JL, et al. Islet cell tumors of the pancreas: pathologic-imaging correlation among size, necrosis and cysts, calcification, malignant behavior, and functional status. AJR Am J Roentgenol. 1995;165:1175–1179
  22. Jemal A, Murray T, Ward E, et al. Cancer statistics, 2005. CA Cancer J Clin. 2005;55(1):10–30
  23. Sheehan M, Latona C, Aranha G, et al. The increasing problem of unusual pancreatic tumors. Arch Surg. 2000;135:644–650
  24. Hiotis SP, Klimstra DS, Conlon KC, et al. Results after pancreatic resection for metastatic lesions. Ann Surg Oncol. 2002;9(7):675–679
  25. Armas RR. Clinical studies with spleen specific radiolabeled agents. Semin Nucl Med. 1985;15:260–275
  26. Gunes I, Yilmazlar T, Sarikaya I, et al. Scintigraphic detection of splenosis: superiority of tomographic selective spleen scintigraphy. Clin Radiol. 1994;49:115–117
  27. Bidet AC, Dreyfus-Schmidt G, Mas G, et al. Diagnosis of splenosis: the advantages of splenic scintiscanning with Tc 99m heat-damaged red blood cells. Eur J Nucl Med. 1986;12:357–358
  28. Spinelli KS, Fromwiller TE, Daniel RA, et al. Cystic pancreatic neoplasms observe or operate. Ann Surg. 2004;239(5):651–659

PII: S1092-9134(06)00176-6

doi: 10.1016/j.anndiagpath.2006.12.018

Annals of Diagnostic Pathology
Volume 11, Issue 4 , Pages 277-281 , August 2007