Chapter 5

The spleen

Catherine Hildyard

Catherine Hildyard

Department of Haematology, Buckinghamshire Healthcare NHS Trust, UK

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Daniel Royston

Daniel Royston

Department of Haematopathology, Oxford University Hospitals NHS Foundation Trust, UK

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First published: 04 April 2025

Summary

The spleen performs diverse immunological, haemodynamic and blood filtering functions that are variously perturbed in primary splenic disorders and various systemic diseases. Splenic form and function are closely related, with an understanding of key pathological processes lending insight to the clinical manifestations of splenic disease. The appropriate investigation, diagnosis and management of patients with splenic disorders can be challenging and requires an integrated multidisciplinary approach.

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