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Case Reports
. 2014 May;39(5):470-1.
doi: 10.1097/RLU.0000000000000403.

Differentiation of an unclear splenic lesion in a patient with cholangiocarcinoma

Constantin Lapa  1 , Ulrich Steger, Christian O Ritter, Vanessa Wild, Ken Herrmann
Affiliations
Case Reports

Differentiation of an unclear splenic lesion in a patient with cholangiocarcinoma

Constantin Lapa et al. Clin Nucl Med. 2014 May.

Abstract

Here we report on a 51-year-old man with the primary diagnosis of cholangiocarcinoma. Workup with CT and contrast-enhanced ultrasound revealed an additional lesion in the spleen, raising the concern for metastasis. Combined FDG PET/CT revealed a different metabolic pattern, making a metastasis unlikely. Histopathology of the splenic lesion confirmed sclerosing angiomatoid nodular transformation, a rare benign lesion of the spleen.

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