Subtotal splenectomy preserving the inferior splenic pole for the treatment of hodgkin's lymphoma
Carregando...
Data
Autor(es)
Título da Revista
ISSN da Revista
Título de Volume
Editor
Universidade Federal de Minas Gerais
Descrição
Tipo
Artigo de periódico
Título alternativo
Primeiro orientador
Membros da banca
Resumo
INTRODUCTION: Splenectomy is helpful in the management of selected patients with Hodgkin’s lymphoma (HL), but in some cases this procedure is accompanied by a greater morbidity and mortality
mainly due to sepsis. This is the first published case of subtotal splenectomy preserving the inferior
splenic pole without the maintenance of the splenic vascular pedicle.
PRESENTATION OF CASE: A 53-year-old man with HL refractory to chemo and radiotherapy associated to a
very large spleen was successfully treated with subtotal splenectomy, preserving the inferior splenic pole
supplied only by the left gastroepiploic and inferior splenic pole vessels. After an eleven year uneventful
postoperative follow-up, the dimensions and function of the spleen are still preserved, and the disease
is under control with chemo- and radiotherapy.
CONCLUSION: Subtotal splenectomy is efficacious to preserve the splenic functions and to prevent adverse
effects of a large spleen on the treatment of Hodgkin’s lymphoma confined to superior pole and producing
significant abdominal symptoms and hematological effects.
Abstract
Assunto
Hodgkin Disease, Splenectomy
Palavras-chave
BAÇO, CIRURGIA, ESPLENECTOMIA SUBTOTAL, ESPLENECTOMIA PARCIAL, ESPLENECTOMIA, linfoma de Hodgkin
Citação
Departamento
Curso
Endereço externo
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5423331/pdf/main.pdf