Open AccessSolitary splenic metastasis from lung adenocarcinoma: A case report
Author(s) -
Hara Kantaro,
Izumi Nobuhiro,
Tsukioka Takuma,
Komatsu Hiroaki,
Toda Michihito,
Miyamoto Hikaru,
Suzuki Satoshi,
Kimura Takuya,
Shibata Toshihiko,
Nishiyama Noritoshi
Publication year - 2017
Publication title -
thoracic cancer
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.823
H-Index - 28
eISSN - 1759-7714
pISSN - 1759-7706
DOI - 10.1111/1759-7714.12477
Subject(s) - medicine , carcinoembryonic antigen , adenocarcinoma , lung , metastasis , positron emission tomography , radiology , lung cancer , solitary pulmonary nodule , splenectomy , pathology , pathological , standardized uptake value , lesion , spleen , cancer
Solitary splenic metastasis is extremely rare, with only 27 reported cases in the literature. An 81‐year‐old woman was referred to our hospital for treatment of pulmonary and splenic lesions. Chest computed tomography showed a small lung nodule in the right upper lobe, abdominal computed tomography showed an 8 cm splenic mass with abnormal accumulation, and positron emission tomography revealed a maximum standardized uptake value of 7.9. She had elevated serum cancer antigen 19‐9 (1847 U/mL) and carcinoembryonic antigen concentrations (17.9 ng/mL). She underwent laparoscopic splenectomy. Pathological examination revealed poorly differentiated adenocarcinoma. We performed partial lung resection and diagnosed the small lung lesion as lung adenocarcinoma. Both lesions were positive for thyroid transcription factor 1. Thus, primary lung adenocarcinoma and solitary splenic metastasis were diagnosed. The patient was still alive without recurrence four years postoperatively. Herein, we report a rare case of lung adenocarcinoma with solitary splenic metastasis and review the literature.