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Extremely large spleen. Done MRI. What is the solution?

I am 76 year old female in pretty good health. recently thru an MRI, abdominal ustrasound and abdominal ct scan.. all showed an extremely large spleen (17cm) , none of the doctors I saw had any explaination. my primary physician strongly suggested that I see a Hematologist. I would appreciate your thoughts on this. thanks
Asked On : Thu, 11 Apr 2013
Answers:  2 Views:  35
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Pathologist and Microbiologist 's  Response

Spleen can be enlarged due to many reasons .It can be infective ,inflammatory .or neoplastic (Leukemia, lymphoma or any other malignancy) .First reason of enlarged spleen is to be established .You have to undergo tests complete blood count and other test depending upon clinical presentation .Some times treatment of underlying symptoms cause reversal of spleen size but sometimes surgery may be reqd. After surgery you may need frequent antibiotics etc.

My advice is you shuold consult hematologist and take care so that spleen is not hurt as it may bleed profusely if hurt and lead to serious complications

Best Wishes
Answered: Thu, 11 Apr 2013
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General & Family Physician Dr. Sunil 's  Response
Thanks for posting your query.
Spleen is lymphoid organ of the body normally its size is less than 13 cm .The causes of an enlarged spleen are multiple, most reflect the presence of hepatic or hematologic disease, infection, or inflammation. If you have no history of alcoholism and live disease (hepatitis) then haematological conditions like polycythemia vera,Chronic myeloid leukemia,Myelofibrosis or Lymphoma should be ruled out.
You are advised to visit hematologist and get tests like complete blood count with white blood cell differential and platelet count and examination of the peripheral blood smear, liver function studies, urinalysis, and chest x-ray. Testing for the presence of antibodies to HIV should be considered when no other causes for splenomegaly are apparent.
Hope it helps.
Take Care!
Answered: Fri, 12 Apr 2013
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