Primary and Metastatic Cancer of the Spleen

Author(s): Jorg Sauer

Pp: 192-201 (10)

DOI: 10.2174/978160805273811101010192

* (Excluding Mailing and Handling)

Abstract

Malignant diseases of the spleen occur rather frequently. However, most of these cases are malignant diseases of the lymphatic and haematopoietic systems, but not local malignant neoplasms of the spleen. Most frequently, such diseases come with an enlargement of both the entire spleen and the lymph nodes of the splenic hilum. A systematic treatment of the underlying disease should be given priority over a splenectomy, which may be applied in particular cases only. It should be noted, that in order to diagnose properly or stage the systemic disease a splenectomy including the removal of the splenic hilum may become inevitable. Notwithstanding, in most of today’s cases, imagining diagnostics is an appropriate means to identify an affection of the spleen. Malignant neoplasms in the spleen are very rare. Most tumours can be identified and categorised through the use of anamnesis, imaging, chemical and laboratory examinations. If malignant neoplasms have isolatedly affected the spleen, splenectomy can be applied to cure the organ. Generally, the splenectomy can be conducted in a laparoscopic way. The use of splenectomy is not reasonable in patients with more organs affected; such cases require a systemic therapy.

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      • 13. app/Models/UserAccess/UserAccess.php:1266
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      • 16. vendor/laravel/framework/src/Illuminate/Routing/ControllerDispatcher.php:43
      • 17. vendor/laravel/framework/src/Illuminate/Routing/Route.php:260
    • (select j.user_access_id,j.volume_id,j.user_id,j.from_ip,j.to_ip,j.type,j.track,"Trial Access" as access_base_text, CASE j.type WHEN 111 THEN true ELSE false END as terms_popup, "S" as content_download_type, null as restricted_user_access_key, null as restricted_user_access_type, CASE j.track WHEN 0 THEN false ELSE true END as tracksAccessByVolume,"chapter" as access_level, j.chapter_id from `user_access_chapter_trail` as `j` inner join `user_access_info` as `info` on `j`.`user_access_id` = `info`.`user_access_id` where ((j.from_ip <= 59768330 and j.to_ip >=59768330 )) and ((j.from_date <= 1740775596 and j.to_date >= 1740775596 and j.perpetual= 0) or (j.from_date is null and j.to_date is null and j.perpetual= 1)) and j.chapter_id = 2397) union (select j.user_access_id,j.volume_id,j.user_id,j.from_ip,j.to_ip,j.type,j.track,"Subscribed" as access_base_text, false as terms_popup, "S" as content_download_type, null as restricted_user_access_key, null as restricted_user_access_type, CASE j.track WHEN 0 THEN false ELSE true END as tracksAccessByVolume,"chapter" as access_level, j.chapter_id from `user_access_chapter_corporate` as `j` inner join `user_access_info` as `info` on `j`.`user_access_id` = `info`.`user_access_id` where ((j.from_ip <= 59768330 and j.to_ip >=59768330 )) and ((j.from_date <= 1740775596 and j.to_date >= 1740775596 and j.perpetual= 0) or (j.from_date is null and j.to_date is null and j.perpetual= 1)) and j.chapter_id = 2397) union (select j.user_access_id,j.volume_id,j.user_id,j.from_ip,j.to_ip,j.type,j.track,"Token Based Access" as access_base_text, false as terms_popup, "R" as content_download_type, j.uc_id as restricted_user_access_key, "v" as restricted_user_access_type, CASE j.track WHEN 0 THEN false ELSE true END as tracksAccessByVolume,"chapter" as access_level, j.chapter_id from `user_access_chapter_token` as `j` inner join `user_access_info` as `info` on `j`.`user_access_id` = `info`.`user_access_id` where ((j.from_ip <= 59768330 and j.to_ip >=59768330 )) and ((j.from_date <= 1740775596 and j.to_date >= 1740775596 and j.perpetual= 0) or (j.from_date is null and j.to_date is null and j.perpetual= 1)) and j.chapter_id = 2397)
      910μsalphaeurekaselec_live_10_06_2022UserAccess.php#1266
      Backtrace
      • 13. app/Models/UserAccess/UserAccess.php:1266
      • 14. app/Http/Controllers/ChapterController.php:1549
      • 15. vendor/laravel/framework/src/Illuminate/Routing/Controller.php:54
      • 16. vendor/laravel/framework/src/Illuminate/Routing/ControllerDispatcher.php:43
      • 17. vendor/laravel/framework/src/Illuminate/Routing/Route.php:260
    • select b.banner_link, b.banner_name, b.banner_script, b.banner_remarks, b.banner_file_name, b.banner_placement, bd.content_type, bd.content_id from `tbl_banner` as `b` inner join `tbl_banner_detail` as `bd` on `bd`.`banner_id` = `b`.`banner_id` inner join `users` as `u` on `u`.`id` = `b`.`updated_by` where `b`.`banner_ebook` = 1 and `bd`.`content_type` = 'B' and `bd`.`content_id` = 956 and `b`.`banner_from_date` <= 1740775596 and `b`.`banner_to_date` >= 1740775596 and `b`.`banner_status` = 'A' order by `b`.`banner_id` desc
      1.63msalphaeurekaselec_live_10_06_2022Banner.php#95
      Bindings
      • 0: 1
      • 1: B
      • 2: 956
      • 3: 1740775596
      • 4: 1740775596
      • 5: A
      Backtrace
      • 13. app/Models/Banner.php:95
      • 14. app/Http/helpers.php:404
      • 17. vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
      • 18. vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
      • 19. vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:73
    • select count(*) as aggregate from `uc_cart_products` where cart_id='b13298f18275e393817459d223ad3230'
      1.78msalphaeurekaselec_live_10_06_2022Cart.php#271
      Backtrace
      • 15. app/Models/Cart.php:271
      • 16. view::layouts._header:291
      • 18. vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
      • 19. vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
      • 20. vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:73
    App\Models\Chapter
    1Chapter.php#?
    App\Models\Keywords
    1Keywords.php#?
    App\Models\Ebook
    1Ebook.php#?
        _token
        w8xMI4v9NUzRxmSeJp2CdEDw1ngWm1pz3ktvgKfd
        uc_cart_id
        b13298f18275e393817459d223ad3230
        _previous
        array:1 [ "url" => "http://alpha.eurekaselect.com/chapter/2397" ]
        _flash
        array:2 [ "old" => [] "new" => [] ]
        PHPDEBUGBAR_STACK_DATA
        []
        path_info
        /chapter/2397
        status_code
        200
        
        status_text
        OK
        format
        html
        content_type
        text/html; charset=UTF-8
        request_query
        []
        
        request_request
        []
        
        request_headers
        0 of 0
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        request_cookies
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        response_headers
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        array:5 [ "_token" => "w8xMI4v9NUzRxmSeJp2CdEDw1ngWm1pz3ktvgKfd" "uc_cart_id" => "b13298f18275e393817459d223ad3230" "_previous" => array:1 [ "url" => "http://alpha.eurekaselect.com/chapter/2397" ] "_flash" => array:2 [ "old" => [] "new" => [] ] "PHPDEBUGBAR_STACK_DATA" => [] ]
        ClearShow all
        Date ↕MethodURLData
        #12025-02-28 20:46:36GET/chapter/2397112193