Hepatic splenosis diagnosed after inappropriate metastatic evaluation in patient with low-risk prostate cancer.

Abstract:

:A man interested in active surveillance of low-risk prostate cancer sought a second opinion after having undergone an inappropriate metastatic evaluation that demonstrated multiple enhancing liver masses. Because of his history of splenectomy for trauma, hepatic splenosis was suspected. Despite reassurance, the patient desired biopsy of the masses to confirm splenosis. The imaging features and pathophysiology of hepatic splenosis are presented. Owing to the low rates of metastatic disease, the current guidelines do not recommend diagnostic imaging for low-risk prostate cancer. The present case illustrates the dangers of the current widespread practice of inappropriate diagnostic imaging of patients with low-risk prostate cancer.

journal_name

Urology

journal_title

Urology

authors

Li H,Snow-Lisy D,Klein EA

doi

10.1016/j.urology.2011.09.041

subject

Has Abstract

pub_date

2012-05-01 00:00:00

pages

e73-4

issue

5

eissn

0090-4295

issn

1527-9995

pii

S0090-4295(11)02471-X

journal_volume

79

pub_type

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