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Hemangioma of the Spleen
LETTERS
Hemangioma of the Spleen
studies.3 This would have been reassuring to the patient and would have validated the plan to perform a partial splenectomy. The pathologic diagnosis is given as hemangiomatosis. This term implies diffuse involvement of the spleen with hemangiomatous lesions. This lesion was solitary.
Leon Morgenstern, MD, FACS Los Angeles, CA I question several points in the article on partial resection of the spleen for hemangioma as reported by Breitenstein and colleagues1 in the January 2007 issue of the Journal. If the resection of the lesion seen on the CT scan was for a strong suspicion of metastasis, I believe total rather than partial splenectomy should have been considered. Total resection would have ensured removal of other metastatic lesions not visualized in the CT scan. The diagnosis of hemangioma could have been established before operation with a high degree of certainty by radionuclide imaging studies2 or contrast enhanced CT
REFERENCES 1. Breitenstein S, Scholz T, Schäfer M, et al. Laparoscopic partial splenectomy. J Am Coll Surg 2007;24:179–181. 2. Royal HD, Brown ML, Drum DE, et al. Society of nuclear medicine procedure guideline for hepatic and splenic imaging 3.0. Society of Nuclear Medicine Procedure Guidelines Manual 2003; 53–55. 3. Ferrozzi F, Bova D, Draghi F, Garlaschi G. CT findings in primary vascular tumors of the spleen. AJR 1996;166: 1097–1101.
CORRECTION in Surgery Study articles, which appeared in the June 2007 issue of the Journal of the American College of Surgeons, volume 204, had direct access to the VA patient data; these authors had access to summary tables and graphs only.
The following addendum was added by the authors after the Volume 204, June 2007 issue of the Journal of the American College of Surgeons was published: None of the non-VA investigators on the Patient Safety
© 2007 by the American College of Surgeons Published by Elsevier Inc.
386
ISSN 1072-7515/07/$32.00 doi:10.1016/j.jamcollsurg.2007.04.031
Hemangioma of the Spleen
studies.3 This would have been reassuring to the patient and would have validated the plan to perform a partial splenectomy. The pathologic diagnosis is given as hemangiomatosis. This term implies diffuse involvement of the spleen with hemangiomatous lesions. This lesion was solitary.
Leon Morgenstern, MD, FACS Los Angeles, CA I question several points in the article on partial resection of the spleen for hemangioma as reported by Breitenstein and colleagues1 in the January 2007 issue of the Journal. If the resection of the lesion seen on the CT scan was for a strong suspicion of metastasis, I believe total rather than partial splenectomy should have been considered. Total resection would have ensured removal of other metastatic lesions not visualized in the CT scan. The diagnosis of hemangioma could have been established before operation with a high degree of certainty by radionuclide imaging studies2 or contrast enhanced CT
REFERENCES 1. Breitenstein S, Scholz T, Schäfer M, et al. Laparoscopic partial splenectomy. J Am Coll Surg 2007;24:179–181. 2. Royal HD, Brown ML, Drum DE, et al. Society of nuclear medicine procedure guideline for hepatic and splenic imaging 3.0. Society of Nuclear Medicine Procedure Guidelines Manual 2003; 53–55. 3. Ferrozzi F, Bova D, Draghi F, Garlaschi G. CT findings in primary vascular tumors of the spleen. AJR 1996;166: 1097–1101.
CORRECTION in Surgery Study articles, which appeared in the June 2007 issue of the Journal of the American College of Surgeons, volume 204, had direct access to the VA patient data; these authors had access to summary tables and graphs only.
The following addendum was added by the authors after the Volume 204, June 2007 issue of the Journal of the American College of Surgeons was published: None of the non-VA investigators on the Patient Safety
© 2007 by the American College of Surgeons Published by Elsevier Inc.
386
ISSN 1072-7515/07/$32.00 doi:10.1016/j.jamcollsurg.2007.04.031