Table 2

Overview of the pathologic conditions, other than lymphomas, causing splenomegaly

Disease typeRepresentative examples
Infective Brucellosis, EBV and CMV infections, Leishmaniasis, viral hepatitis 
Myeloproliferative neoplasms PMF, CML, PV, CMML 
Hemolytic anemia Thalassemia, sickle cell anemia, hereditary spherocytosis, autoimmune hemolytic anemia 
Hepatic diseases and veno-occlusive disorders of hepatic veins and portal system Cirrhosis, hepatic/portal/splenic vein thrombosis 
Autoimmune and inflammatory diseases SLE, Felty syndrome, sarcoidosis, inflammatory pseudotumor of the spleen 
Tumors Littoral cell angioma, hemangioma, lymphangioma, spindle-cell sarcomas, metastases 
Protein misfolding diseases and thesaurismoses Amyloidosis, Gaucher disease, Erdheim-Chester disease 
Other conditions Cysts, infarction 
Disease typeRepresentative examples
Infective Brucellosis, EBV and CMV infections, Leishmaniasis, viral hepatitis 
Myeloproliferative neoplasms PMF, CML, PV, CMML 
Hemolytic anemia Thalassemia, sickle cell anemia, hereditary spherocytosis, autoimmune hemolytic anemia 
Hepatic diseases and veno-occlusive disorders of hepatic veins and portal system Cirrhosis, hepatic/portal/splenic vein thrombosis 
Autoimmune and inflammatory diseases SLE, Felty syndrome, sarcoidosis, inflammatory pseudotumor of the spleen 
Tumors Littoral cell angioma, hemangioma, lymphangioma, spindle-cell sarcomas, metastases 
Protein misfolding diseases and thesaurismoses Amyloidosis, Gaucher disease, Erdheim-Chester disease 
Other conditions Cysts, infarction 

EBV indicates Epstein-Barr virus; CMV, cytomegalovirus; PMF, primary myelofibrosis; CML, chronic myelogenous leukemia; PV, polycythemia vera; CMML, chronic myelomonocytic leukemia; and SLE, systemic lupus erythematosus.

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