Table of Contents    
Case Report
 
Laparoscopic splenectomy for splenic sclerosing angiomatoid nodular transformation: A case report
Kunihiro Shinjo1, Koichi Sato1, Hiroshi Maekawa1, Mutsumi Sakurada1, Hajime Orita1, Tomoaki Ito1, Masayuki Saita1, Sei Matsumori1, Yoshihiro Komatsu1, Miki Yamano2
1Department of Surgery, Juntendo Shizuoka Hospital, Juntendo University School of medicine, Izunokuni, Shizuoka, Japan.
2Department of Pathology, Juntendo Shizuoka Hospital, Juntendo University School of medicine, Izunokuni, Shizuoka, Japan.

doi:10.5348/ijcri-2012-06-135-CR-8

Address correspondence to:
Kunihiro Shinjo, MD, Ph.D.
Department of Surgery, Juntendo Shizuoka Hospital
Juntendo University School of medicine
1129 Nagaoka, Izunokuni-shi, Shizuoka
Japan - 410-2295
Phone: 81-55-948-3111
Fax: 81 -55-946-0514
Email: old113@yahoo.co.jp

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How to cite this article:
Shinjo K, Sato K, Maekawa H, Sakurada M, Orita H, Ito T, Saita M, Matsumori S, Komatsu Y, Yamano M. Laparoscopic splenectomy for splenic sclerosing angiomatoid nodular transformation: A case report. International Journal of Case Reports and Images 2012;3(6):34–37.


Abstract
Introduction: Sclerosing angiomatoid nodular transformation (SANT) is a rare benign and proliferative vascular lesion arising within the red pulp of the spleen. The lesion is often identified incidentally on imaging and the diagnosis is confirmed on pathologic assessment of the resected spleen. The lesion can be cured by splenectomy. Until now, little has been published on the laparoscopic approach for treatment of SANT.
Case Report: A 5-cm splenic tumor was discovered during a routine examination of an asymptomatic 38-year-old man. We were initially suspicious of fibrous hamartoma, but could not rule out malignancy. Consequently, laparoscopic splenectomy was performed, and histopathological findings showed that the tumor was a sclerosing angiomatoid nodular transformation.
Conclusion: We report a rare case of sclerosing angiomatoid nodular transformation, completely resected by laparoscopy. In such cases, laparoscopic splenectomy seems to be a feasible, safe, and effective treatment.

Key Words: Sclerosing angiomatoid nodular transformation, SANT, Laparoscopic splenectomy

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Author Contributions:
Kunihiro Shinjo - Conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published
Koichi Sato - Conception and design, Acquisition of data, Analysis and interpretation of data, Final approval of the version to be published
Hiroshi Maekawa - Conception and design, Acquisition of data, Analysis and interpretation of data, Final approval of the version to be published
Mutsumi Sakurada - Conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published
Hajime Orita - Conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published
Tomoaki ito - Conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published
Masayuki Saita - Conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published
Sei Matsumori - Conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published
Yoshihiro Komatsu - Conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published
Miki Yamano - Conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published
Guarantor of submission:
The corresponding author is the guarantor of submission.
Source of support:
None
Conflict of interest:
Authors declare no conflict of interest.
Copyright:
© Kunihiro Shinjo et al. 2012; This article is distributed the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.)