Table 3 Cases of splenic cysts presenting with elevated serum tumor marker levels
Factor | 51 | ||
|---|---|---|---|
Male/female | 12/38 | ||
Not described | 1 | ||
Age (mean ± SD) | 28 ± 11 | ||
Size (mean ± SD) | 12.7 ± 4.7 | ||
Chief complaint | Abdominal pain | 23 | |
Discomfort, fullness, or heavy feeling | 10 | ||
Fever | 5 | ||
Back pain | 4 | ||
Shoulder pain | 2 | ||
None | 7 | ||
Others | 5 | ||
Not described | 10 | ||
State of cyst | No complications | 44 | |
Complicated | 7 | ||
Rupture | 4 | ||
Infection | 4 | ||
Hematoma | 1 | ||
Tumor markers | CA19–9 | 50 | |
(high serum levels) | CA125 | 7 | |
CEA | 8 | ||
Others | 3 | ||
Surgical procedure | Splenectomy (laparoscopic) | 30 (8) | |
Partial splenectomy (laparoscopic) | 1 (0) | ||
Cystectomy (laparoscopic) | 4 (2) | ||
Fenestration (laparoscopic) | 4 (4) | ||
Percutaneous aspiration | 14 | ||
Not described | 1 | ||
Pathology | Epithelial cyst | 35 | |
Mesothelial cyst | 2 | ||
Pseudocyst | 1 | ||
Not described | 14 | ||