Tavangar Seyed Mohammad, Abdollahi Alireza
Department of Pathology, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Department of Pathology, Imam Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran.
Acta Med Iran. 2017 Jan;55(1):77-78.
Splenic hamartoma is an unusual accidental finding with non-neoplastic feature that may be incidentally diagnosed because of its compression effect on surrounding organs. The predominant pathological feature leading diagnosis is circumscribed, un-encapsulated bulging nodules with focal fibrosis or cyst. The histopathological feature of splenic hamartoma is the positivity for CD8, and occasionally for CD31, CD34, and CD68 biomarkers on vascular wall but the cells are frequently negative for CD21. Herein, we describe a case with initial diagnosis of nephrolithiasis due to abdominal pain that was finally confirmed as splenic hamartoma by histopathological assessments and detection of CD8, CD31, CD34, and CD68 positivity.
脾错构瘤是一种具有非肿瘤性特征的罕见偶然发现,因其对周围器官的压迫作用可能被偶然诊断。导致诊断的主要病理特征是边界清楚、无包膜的突出结节伴局灶性纤维化或囊肿。脾错构瘤的组织病理学特征是CD8阳性,血管壁上偶尔CD31、CD34和CD68生物标志物阳性,但细胞CD21常为阴性。在此,我们描述一例最初因腹痛诊断为肾结石,最终经组织病理学评估及检测CD8、CD31、CD34和CD68阳性而确诊为脾错构瘤的病例。