Treatment of Benign Splenic Tumor in Splenic Cyst with Confirmed Cystic Echinococcosis

This protocol addresses the management of a benign splenic tumor presenting as a splenic cyst in patients with confirmed cystic echinococcosis — that is, a splenic cystic lesion in which hydatidosis serology has returned positive.

Clinical Scenario

The patient presents with a splenic cyst in which cystic echinococcosis has been confirmed by positive hydatidosis serology. This positive serological finding defines the specific surgical and parasitological context that must be taken into account before any intervention.

In cases of cystic lesions, echinococcosis laboratory testing is required prior to surgery. When the initial work-up is negative yet clinical and radiological findings remain suggestive, a specialised parasitological consultation is recommended.

Treatment Approach (partial)

Management of this condition involves a definitive surgical intervention targeting the spleen; the complete operative strategy, pre- and post-operative considerations, and full clinical pathway are available in the structured protocol.

Full regimen details accessible via the link below.

Instant Access to Structured Evidence-Based Regimens

References

DOI: 10.1016/j.soda.2024.100127

In cases of cystic lesions, cystic echinococcosis lab tests are required before surgery.
If the first work-up is negative, but clinical and radiological data are suggestive of cystic echinococcosis, a specialized parasitological consultation is recommended.
Total splenectomy.

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