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Maligniteyi taklit eden belirgin endotelyal proliferasyon gösteren kistik splenik hamartoma: olgu sunumu

Cystic splenic hamartoma with prominent endothelial proliferation mimicking malignancy: a case report

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Abstract (2. Language): 
Splenic hamartoma is an uncommon benign lesion and usually determined incidentally. A 44-year-old female patient admitted with abdominal pain. There was not any history of trauma. During the ultrasonographic examination a cystic mass was seen in the upper pole of the spleen. Only anemia was detected biochemically, and all other laboratory findings were normal. The patient underent splenectomy. Grossly, a cystic mass including solid component was seen in the upper pole of the spleen. Histopathologically, cystic component did not have lining epithelium. Solid component included sinus like clefts, broad cordons and areas of prominent endothelial proliferation. The lesion was diagnosed as hamartoma. In this report, the clinical and histopathological features of a case of splenic hamartoma with prominent endothelial proliferation that may be easily confused with malignancy is presented.
Abstract (Original Language): 
Splenik hamartoma nadir görülen benign bir lezyondur ve genellikle rastlantısal olarak saptanır. Kırk dört yaşında kadın hasta karın ağrısı şikayeti ile başvurdu. Travma öyküsü yoktu. Batın ultrasonografisi sırasında dalağın üst kutbunda kistik kitle görüldü. Biyokimyasal incelemede sadece anemi saptanmış olup, diğer tüm laboratuvar incelemeleri normaldi. Hastaya splenektomi yapıldı. Makroskobik olarak, dalağın üst kutbunda solid komponent de içeren kistik kitle görüldü. Histopatolojik olarak kistik komponentin döşeyici epitelinin bulunmadığı görüldü. Solid komponent, sinüs benzeri yarıklar, geniş kordonlar ve belirgin endotelyal proliferasyon alanları içermekteydi. Lezyon hamartoma olarak rapor edildi. Bu makalede maligniteler ile karış- tırılabilecek, belirgin endotelyal proliferasyon içeren bir splenik hamartoma olgusunun klinik ve histopatolojik özellikleri sunulmuştur.
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