Primary splenic tumours

Rare

• Benign
  • Haemangioma
    • Rare, usually < 2cm, often incidental
    • Excision indicated if symptomatic, or >5cm
  • Harmatoma
    • White or red pulp, nonencapsulated 2-4cm
  • Lymphangioma
    • Rare, slow growing
• Malignant
  • Primary lymphoma
    • Usually non-Hodgkin’s
  • Angiosarcoma
    • Rare, grey nodules, early metastases, poor prognosis
• Splenectomy for diagnosis, Rx or palliation

Metastatic

• 7% of all cancer patients get splenic mets
• Breast, lung, melanoma, ovary, choriocarcinoma
• Splenectomy for palliation