Diagnosis and treatment of focal splenic lesions

J Visc Surg. 2022 Apr;159(2):121-135. doi: 10.1016/j.jviscsurg.2021.11.010. Epub 2022 Mar 3.


The spleen can be affected by many conditions, some of which are easily diagnosed by conventional imaging, mainly using computed tomography scans and magnetic resonance imaging. Despite the contribution of functional radiology techniques such as positron emission tomography, it is sometimes difficult to diagnose certain focal splenic lesions and definitive diagnosis sometimes requires histological confirmation by percutaneous biopsy or more rarely by diagnostic intervention. Once a diagnosis has been established, treatment is based mainly on surgery: total splenectomy for malignant lesions, or partial splenectomy whenever possible for benign lesions benign that are symptomatic and/or at risk of rupture.

Keywords: Biopsy; Imagery; Spleen; Surgery.

MeSH terms

  • Humans
  • Magnetic Resonance Imaging / methods
  • Splenectomy / methods
  • Splenic Diseases* / diagnostic imaging
  • Splenic Diseases* / surgery
  • Splenic Neoplasms* / diagnostic imaging
  • Splenic Neoplasms* / surgery
  • Tomography, X-Ray Computed / methods