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Indian Journal of Pathology and Microbiology
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CASE REPORT
Year : 2015  |  Volume : 58  |  Issue : 3  |  Page : 359-361

Sclerosing angiomatoid nodular transformation of spleen masquerading as a splenic abscess


Department of Pathology, Armed Forces Medical College, Pune, Maharashtra, India

Correspondence Address:
Dr. Kunal Ashok Bagul
Department of Pathology, Diamond Jubilee Block, Armed Forces Medical College, Solapur Road, Pune - 411 040, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0377-4929.162900

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Here we report an incidental case of sclerosing angiomatoid nodular transformation (SANT) in an open splenectomy specimen from a young man who presented with insidious abdominal pain. The condition was mimicking as a splenic abscess. Histopathological and immunohistochemical analysis confirmed this to be SANT. SANT presents a diagnostic challenge to clinicians, radiologists, as well as pathologists because of its extreme rarity. Therefore, it must be included as a differential diagnosis in cases with nonspecific pain or radiological splenic mass. This case highlights that SANT can present with varied clinical features and at a wide range of ages. A high index of suspicion is required for its diagnosis.


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