Isolated splenic metastasis from gastric carcinoma: value of CEA and CA 19-9 in early diagnosis: report of two cases.
We report two cases of an isolated splenic metastasis, occurring 5 and 3 years, respectively, after gastrectomy for gastric carcinoma. Serum carcinoembryonic antigen and CA 19-9 levels were evaluated preoperatively, postoperatively, and during the oncologic follow-up. The patients underwent splenectomy for solitary splenic metastasis. We conclude that the use of serum carcinoembryonic and CA 19-9 values may help in the early diagnosis of these recurrences and splenectomy allows radical treatment in patients with no evidence of disseminated disease.
Opocher
E
E
Department of Surgery, University of Milan, Ospedale San Paolo, Milano, Italy.
Santambrogio
R
R
Bianchi
P
P
Cioffi
U
U
De Simone
M
M
Vellini
S
S
Montorsi
M
M
D000230:Adenocarcinoma / Q000097:blood* / Q000175:diagnosis / Q000556:secondary*; D000368:Aged; D018395:CA-19-9 Antigen / Q000097:blood*; D002272:Carcinoembryonic Antigen / Q000097:blood*; D005260:Female; D005743:Gastrectomy; D006801:Humans; D008297:Male; D008875:Middle Aged; D013160:Splenic Neoplasms / Q000097:blood* / Q000175:diagnosis / Q000556:secondary*; D013274:Stomach Neoplasms / Q000097:blood* / Q000175:diagnosis / Q000473:pathology* / Q000601:surgery
D018395:CA-19-9 Antigen; D002272:Carcinoembryonic Antigen