PMC4336391_01
Computed tomography.
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Radiological studies were completed with CT, identifying a mass in the splenic middle third of 72 x 62 x 61 mm with well-defined margins, heterogeneous density with a peripheral hyperdense area and central hypondense zones, without criteria of cystic lesion and suspicious for malignancy (Fig. 1).
Surgical specimen.
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The surgical margin in the splenic hilum was not affected (Fig. 2).
A, B, C, D - Tumor composed of mature plasma cells, small lymphocytes and variable proportion of spindle cells and collagen bundles (hematoxylin-eosin). B - Necrosis area to the right of the image.
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There are necrotic areas "pseudogranulomatous" with cellular detritus and some with calcifications (Fig. 3).