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"textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 42-year-old woman with a history of breast cancer was admitted to our radiology department for progressive abdominal pain. In 2013, the patient underwent a left mastectomy due to infiltrating ductal breast carcinoma (T1N0M0), followed by adjuvant radiation therapy. At 5 years of follow-up, the patient showed no signs of tumor recurrence. The patient also had a history of splenic laceration due to a blunt abdominal trauma 6 years earlier. Palpation revealed sensitivity in the upper left abdomen. Her vital signs (blood pressure, heart rate, respiratory rate and temperature) were normal. The laboratory analysis, hemogram, hepatic function, serum electrolytes and coagulation tests were also normal.</p><p id="par0010" class="elsevierStylePara elsevierViewall">The patient was undergoing annual follow-ups due to suspected breast cancer metastasis. To determine the etiology of the abdominal pain, the patient underwent abdominal magnetic resonance imaging (MRI) with contrast along with a diffusion-weighted MRI. The MRI sequences revealed a small deformed spleen (S, spleen) in the upper left quadrant (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>A). In the MRI, we identified multiple solid peritoneal lesions (asterisks), the largest of which was 4<span class="elsevierStyleHsp" style=""></span>cm (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>B). These lesions had characteristic signs similar to those of the spleen in the T1–T2-weighted sequences. In the dynamic contrast-enhanced T1 sequence, in the arterial phase, the lesions and spleen showed a heterogeneous arciform appearance, with a zebra stripe pattern. In the venous phase, all lesions showed an improved homogeneous pattern (asterisks) (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>C and D). In the diffusion sequences, all peritoneal lesions showed a restricted diffusion pattern (asterisks) (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>E and F). In the annual MRI examinations over the course of the 5 years of follow-up, there were no changes in the lesions. On the fifth year of follow-up, there were no significant changes either in the size or nature of the peritoneal lesions. Therefore, we did not believe that this was a metastatic process. Based on the lesions’ clinical and radiological characteristics, the lesions were diagnosed as peritoneal splenosis. From the radiological standpoint, splenosis can resemble a morbid process, including a primary neoplasia or a metastasis. In the event the patient undergoes splenectomy or experiences splenic trauma, we should consider splenosis instead of metastasis to avoid unnecessary surgeries and provide appropriate treatment.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia></span>"
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