The management of primary nonparasitic XXXX .

@entity1 @entity4890 @entity1463 @entity2696 @entity45 @entity490 @entity954 @entity130
Primary nonparasitic @entity45 (PNSC) are rare and their management in @entity1 has been controversial. We conducted this study to discuss various treatment modalities. The medical records of @entity1 with PNSC (1991-2008) were evaluated retrospectively, including age, sex, history of @entity130 , presenting symptoms, physical examination and radiological findings, therapeutic approaches, and outcomes. Six @entity1 , between 3 to 12 years of age with a male/female ratio of 2, were included. The presenting symptom was @entity490 in all but one asymptomatic @entity1 . Physical examination findings were unremarkable in all except for palpable spleen in two @entity1 . Cyst sizes ranged from 3 x 4 cm to 10 x 12 cm. The @entity1 were treated with aspiration-sclerotherapy (n=2), total splenectomy (n=2), partial splenectomy (n=1), and cyst excision (n=1). The pathological diagnoses were @entity4890 (n=5) and @entity2696 (n=1). The postoperative course was uneventful except for postsplenectomy fever (n=1), recurrence (n=1) and residual cyst (n=1). PNSC larger than 5 cm in diameter or those that are symptomatic should be treated surgically. Total splenectomy should not be done in @entity1 to avoid infectious postsplenectomy problems unless there is a mandatory condition like @entity954 . @entity1463 is not recommended because of recurrence.
