Background: Follicular dendritic cell (FDC) sarcoma is an extremely rare type of tumor. It is located in the lymphoid follicle that originates in the antigen presenting cell of B-cell follicles in the germinal center. Most FDC sarcomas are found in lymph nodes. Some are reported to be found in the liver or spleen.

Objective: The present study was reported the rare case of splenic sarcoma and the alternative option of treatment by laparoscopic splenectomy.

Material and Method: A case report study in patient who presented with splenic mass and performed laparoscopic splenectomy. The pathological results reported FDC sarcoma with pseudotumor-like feature of spleen.

Results: In the present study, we report a case of a 69-year old woman who visited our hospital for scheduled annual examination. She had no symptoms. During ultrasound, we discovered abdominal mass, so we made further investigations by CT scan, which confirmed our suspicions. Although this operation is normally performed by standard open surgery, we performed a successful laparoscopic splenectomy to remove the mass. Our experienced surgeons and excellent facilities enabled this to be possible. There were no post-operative complications. The pathological and immunohistochemical results reported FDC sarcoma with pseudotumor-like feature of spleen. At the six-month follow-up, we found no evidence of tumor recurrence.

Conclusion: In summary, we believe that in certain selected cases of splenic tumors, laparoscopic splenectomy is a viable alternative option, provided that the performing surgeon is experienced and has access to suitable facilities.

Keywords: Follicular dendritic cell, Pseudotumor-like feature, Sarcoma, Laparoscopic, Splenectomy