Littoral cell angioma of the spleen
Littoral cell angioma of the spleen (LCA) is a rare and relatively recently (1991) described vascular tumour of the spleen.
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Epidemiology
Littoral cell angiomas may occur at any age and have no gender predilection.
Clinical presentation
Typically, patients with littoral cell angioma are found to have a splenic abnormality when they are being evaluated for laboratory evidence of anaemia or thrombocytopaenia.
Pathology
Associations
Reported associations include:
Radiographic features
Ultrasound, CT, and MR images usually demonstrate splenomegaly and multiple lesions of similar size and appearance.
Treatment and prognosis
As most patients are symptomatic from anaemia and thrmobocytopaenia and because imaging findings are nonspecific, splenectomy is usually performed for definitive histological diagnosis and treatment. At present biologic behaviour has not been firmly established.
Differential diagnosis
The differential is essentially that of multiple splenic lesions.
Related articles
Splenic pathology
- normal appearance of the spleen
- pseudolesion of the spleen: inhomogeneous splenic enhancement
-
splenic lesions and anomalies
- congenital anomalies
- splenunculi (accessory spleen)
- wandering spleen
- asplenia
- polysplenia
- splenogonadal fusion
- retrorenal spleen
- mass lesions
- infiltrative processes
- miscellaneous
- incidental splenic lesion (approach)
- congenital anomalies
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