Key result
Fine-needle aspiration cytology successfully diagnosed primary angiosarcoma of the spleen prior to splenectomy in a 69-year-old woman.
Case Report (n=1)
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Fine-needle aspiration cytology can serve as an important and effective diagnostic tool for rare splenic neoplasms such as primary angiosarcoma prior to splenectomy.
Primary angiosarcoma of the spleen is a very rare neoplasm with a poor prognosis. The definitive diagnosis is usually based on the histologic evaluation of the splenectomy specimen. We describe a case of angiosarcoma diagnosed by fine-needle aspiration cytology prior to splenectomy. A 69-year-old white woman presented with heterogeneous lesions in the spleen during a follow-up computed tomographic scan for a history of liposarcoma of the right buttock. A malignant endothelial neoplasm was diagnosed by fine-needle aspiration cytology using immunocytochemistry, and a splenectomy confirmed the presence of angiosarcoma. To our knowledge, this is the first well-documented and confirmed case of primary angiosarcoma of the spleen diagnosed by fine-needle aspiration cytology. This report emphasizes the value of fine-needle aspiration cytology as an important diagnostic tool in splenic neoplasms.
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Delacruz et al. (2005) conducted a case report in Primary angiosarcoma of the spleen (n=1). Fine-needle aspiration cytology was evaluated on Diagnosis of angiosarcoma. Fine-needle aspiration cytology successfully diagnosed primary angiosarcoma of the spleen prior to splenectomy in a 69-year-old woman.
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