title: Isolated colon cancer metastasis to the spleen.
abstract: Splenic metastases from colon carcinoma are rare. If present they generally occur in concert with disseminated disease. Six cases have been previously reported. The patient presented here is a 51-year-old black man who presented with an enterocutaneous fistula as a complication from prior pelvic radiation. Workup included an abdominal CT and needle biopsy, which confirmed the splenic metastasis from a sigmoid colon cancer 6 years after the original diagnosis. The patient had an unevenful splenectomy. Although no long-term follow-up data are as yet available splenectomy including removal of hilar lymph nodes appears to be the treatment of choice. A case report and review of the literature are presented.
authors.affiliation: Department of Surgery, Madigan Army Medical Center, Fort Lewis, Washington 98431, USA.
authors.forename: R J
authors.initials: RJ
authors.lastname: Place
mesh_terms: D000230:Adenocarcinoma / Q000556:secondary*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012811:Sigmoid Neoplasms / Q000473:pathology*; D013160:Splenic Neoplasms / Q000556:secondary*