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Sclerosing angiomatoid nodular transformation (SANT) of the spleen is a rare benign vascular mass, with fewer than 100 cases documented. It is generally recognized as a vascular lesion that develops in the red pulp of the spleen; however, its pathogenesis is not clearly defined. We report a case of SANT of the spleen, which presents evidence to support the hypothesis that this disease entity is associated with IgG4-associated disease. Microscopically, the tumor was composed of multiple vascular structures separated by fibrous connective tissue and immunohistochemical examination revealed positive staining for CD31, CD34, factor VIII, and IgG4. Further research based on large number of cases is warranted to clarify the pathogenesis of this tumor.
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http://dx.doi.org/10.1007/s00595-013-0499-3 | DOI Listing |
Cureus
August 2025
Department of Pathology and Laboratory Medicine, Kanazawa Medical University, Ishikawa, JPN.
Sclerosing angiomatoid nodular transformation (SANT) of the spleen is a rare, benign vascular lesion that poses significant diagnostic challenges owing to its nonspecific clinical and radiological features. We herein report the case of a 35-year-old male who presented with chronic left hypochondrial pain and was found to have a splenic mass with poor enhancement on computed tomography (CT) and an increased fluorodeoxyglucose uptake on positron emission tomography-CT. Total splenectomy was performed, and a histopathological examination revealed well-demarcated angiomatoid nodules with varying vascular channels, fibrosclerosis, and hemosiderin deposition.
View Article and Find Full Text PDFJ Surg Case Rep
August 2025
3rd Department of Surgery, University Hospital Attikon, National and Kapodistrian University of Athens, 1 Rimini Street, 12462, Athens, Greece.
Sclerosing angiomatoid nodular transformation (SANT) of the spleen is an extremely rare benign lesion originating from the splenic red pulp. The pathophysiologic mechanism has not yet been explained thoroughly. These tumors are mostly asymptomatic but cause nonspecific abdominal symptoms.
View Article and Find Full Text PDFFront Immunol
August 2025
Department of Hepatobiliary Surgery, Affiliated Nantong Hospital 3 of Nantong University, Nantong, Jiangsu, China.
Sclerosing angiomatoid nodular transformation (SANT)is a rare vascular sclerosing mass-like lesion, often discovered incidentally during routine imaging evaluation or during visits for the patient's primary disease. SANT has complex pathological manifestations, unknown natural course of development and rarity, which makes it difficult for clinicians and pathologists to define its true nature. We report a 55-year-old male patient who came to see a doctor due to a physical examination accidentally found a spleen mass.
View Article and Find Full Text PDFSci Rep
August 2025
Trauma Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
The spleen is the target of numerous non-neoplastic and uncommon neoplastic lesions. Our study's objective was to evaluate the main indications and clinicopathologic features of a large number of splenectomy specimens from southern Iran, with a focus on splenic neoplasms. This five-year retrospective cross-sectional study was carried out on all splenectomy specimens from two referring centers.
View Article and Find Full Text PDFClin J Gastroenterol
July 2025
Department of Surgery, National Hospital Organization Osaka Minami Medical Center, 2-1 Kidohigashimachi, Kawachinagano-shi, Osaka, 586-8521, Japan.
Sclerosing angiomatoid nodular transformation (SANT) is a rare benign vascular disease of the spleen. We report the case of a patient with SANT with thrombocytopenia. To achieve recovery from thrombocytopenia, resection of this splenic tumor was required.
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