Correct!
4. Reassurance and clinical follow up

Studies in asymptomatic patients showed an incidence of up to 50% of splenosis in patients following traumatic splenectomy (5-7). Symptoms include chest pain and hemoptysis. There have been several case reports of incidental discovery of splenosis upon resection (with varying degrees of symptoms’ resolution); more and more studies are noting that a careful history of trauma or splenectomy along radiological features may reduce the need for invasive testing and surgery. Severe pain has been reported to improve with resection.


References

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  2. Stanojevic S, Kaminsky DA, Miller MR, et al. ERS/ATS technical standard on interpretive strategies for routine lung function tests. Eur Respir J. 2022 Jul 13;60(1):2101499. [CrossRef} [PubMed]
  3. Sureka B, Thukral BB, Mittal MK, Mittal A, Sinha M. Radiological review of pleural tumors. Indian J Radiol Imaging. 2013 Oct;23(4):313-20. [CrossRef] [PubMed]
  4. Walker CM, Takasugi JE, Chung JH, Reddy GP, Done SL, Pipavath SN, Schmidt RA, Godwin JD 2nd. Tumorlike conditions of the pleura. Radiographics. 2012 Jul-Aug;32(4):971-85. [CrossRef] [PubMed]
  5. Maiti A, Cherian SV, Estrada-Y-Martin RM. Thoracic splenosis mimicking pleural mass: the importance of clinical history. QJM. 2017 Apr 1;110(4):241-242. [CrossRef] [PubMed]
  6. Fukuhara S, Tyagi S, Yun J, Karpeh M, Reyes A. Intrathoracic splenosis presenting as persistent chest pain. J Cardiothorac Surg. 2012 Sep 7;7:84. [CrossRef] [PubMed]
  7. Khan A, Khan S, Pillai S. Symptomatic Intrathoracic Splenosis More than Forty Years After a Gunshot Injury. Cureus. 2019 Oct 24;11(10):e5985. [CrossRef] [PubMed]

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