Open AccessIsolated splenic metastases from gastric carcinoma: A case report and literature review
Author(s) -
Yiping Zhu,
Yiping Mou,
Junjun Ni,
Yucheng Zhou,
Junnan Jiang,
Zhig Jiang,
Guanyu Wang
Publication year - 2013
Publication title -
world journal of gastroenterology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.427
H-Index - 155
eISSN - 2219-2840
pISSN - 1007-9327
DOI - 10.3748/wjg.v19.i31.5199
Subject(s) - medicine , splenectomy , spleen , adenocarcinoma , gastric carcinoma , gastrectomy , carcinoma , stomach , lesion , gastric adenocarcinoma , splenic disease , cancer , surgery , radiology , pathology , gastroenterology
Isolated metastases to the spleen from gastric carcinoma is very rare. Only a few cases have been reported in the literature. We herein present a case of isolated splenic metastases in a 62-year-old man, occurring 12 mo after total gastrectomy for gastric carcinoma. The patient underwent a laparoscopic exploration, during which two lesions were found at the upper pole of the spleen, without involvement of other organs. A laparoscopic splenectomy was performed. Histological examination confirmed that the splenic tumor was a poorly differentiated adenocarcinoma similar to the primary gastric lesion. The postoperative course was uneventful and the patient has been well for 9 mo, with no tumor recurrence. The clinical data of 18 cases of isolated splenic metastases from gastric carcinoma treated by splenectomy were summarized after a literature review. To our knowledge, this is the first reported case of isolated splenic metastases undergoing laparoscopic splenectomy.