A case of sclerosing angiomatoid nodular transformation:the correlation between imaging and pathological findings

  • SAITO Hirokazu
    Department of Gastroenterology, Kumamoto City Hospital Department of Gastroenterology, Kumamoto Chuo Hospital
  • IWASAKI Norihito
    Department of Gastroenterology, Kumamoto City Hospital
  • YAMABE Satoshi
    Department of Gastroenterology, Kumamoto City Hospital
  • URATA Joji
    Department of Radiology, Kumamoto City Hospital
  • HASHIMOTO Daisuke
    Department of Gastroenterological Surgery, Graduate School of Medical Sciences, Kumamoto University
  • CHIKAMOTO Akira
    Department of Gastroenterological Surgery, Graduate School of Medical Sciences, Kumamoto University
  • TOYOZUMI Yasuo
    Department of Diagnostic Pathology, Kumamoto City Hospital
  • SUMIYOSHI Shinji
    Department of Diagnostic Pathology, Graduate School of Medical Sciences, Kumamoto University
  • BABA Hideo
    Department of Gastroenterological Surgery, Graduate School of Medical Sciences, Kumamoto University
  • TADA Shuji
    Department of Gastroenterology, Kumamoto City Hospital

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Other Title
  • 画像所見と組織像との対比が可能であったsclerosing angiomatoid nodular transformation(SANT)の1例

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Abstract

<p>A 53-year-old woman was referred to our hospital with a 40-mm splenic tumor, which was detected incidentally on abdominal computed tomography during hospitalization for pyelonephritis. The tumor was hypointense on T2-weighted imaging and gradually enhanced on dynamic study. The tumor increased in size over a six-month period. Since we could not exclude splenic malignancy, we performed laparoscopic partial splenectomy. Histological examination revealed multiple angiomatoid nodules with three distinct vessel types. Pathologically, the tumor was diagnosed as a sclerosing angiomatoid nodular transformation (SANT). We then examined the correlation between the imaging and pathological findings, and performed a review of previous reports, concluding that contrast-enhanced MRI was the most useful modality for diagnosing SANT.</p>

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