Splenectomy for solitary splenic metastasis of ovarian cancer.
BACKGROUND
Splenic metastases occur in rare cases with a few case reports of patients in the literature. Generally, splenic metastases mean late dissemination of a disease. Solitary splenic metastases from solid tumors are extremely unusual.


METHODS
We report a case of a patient with ovarian mucinous cystadenocarcinoma who underwent splenectomy for isolated parenchymal metastasis.


CONCLUSIONS
Ovarian epithelial tumors comprised most of isolated splenic metastases from gynecologic tumor. When isolated splenic recurrence is suspected on image studies and serum tumor markers, intraabdominal gross findings should be examined to exclude peritoneal carcinomatosis. If only spleen was under suspicion of recurrence of ovarian cancer, splenectomy may play a therapeutic role.
Koh
Yang Seok
YS
Department of Surgery, Chonnam University Medical School, Chonnam National University Hospital, 8 Hak-dong, Dong-gu, Gwangju 501-757, Korea. koh88@dreamwiz.com <koh88@dreamwiz.com>
Kim
Jung Chul
JC
Cho
Chol Kyoon
CK
D000328:Adult; D018282:Cystadenocarcinoma, Mucinous / Q000556:secondary / Q000601:surgery*; D005260:Female; D006801:Humans; D010051:Ovarian Neoplasms / Q000473:pathology* / Q000601:surgery; D013156:Splenectomy; D013160:Splenic Neoplasms / Q000556:secondary / Q000601:surgery*