title: Giant splenic metastasis due to lung adenocarcinoma.
abstract: Lung cancer is the most prevalent malignancy in western countries and most of the patients present at advanced stages, but single splenic metastasis is exceptional instead. We report on a case of a seventy- three-year old male presenting with non-hemoptoic productive cough, constitutional syndrome and pain in the left lower quadrant. Physical examination and complementary radiological and histological procedures revealed the presence of an adenocarcinoma of the left lung with probable splenic metastasis. The patient underwent splenectomy, which confirmed the diagnose of splenic metastasis of lung adenocarcinoma and, secondly, lung resection was performed. Topics about lung cancer metastasis are discussed.
authors.affiliation: Servicio de Cirugía General y del Aparato Digestivo, Hospital General Universitario de Elche, Elche, Alicante, Spain. anasanchez2@yahoo.es
authors.forename: Ana
authors.initials: A
authors.lastname: Sánchez-Romero
authors.forename: Israel
authors.initials: I
authors.lastname: Oliver
authors.forename: David
authors.initials: D
authors.lastname: Costa
authors.forename: Albina
authors.initials: A
authors.lastname: Orduña
authors.forename: Javier
authors.initials: J
authors.lastname: Lacueva
authors.forename: Francisco
authors.initials: F
authors.lastname: Pérez-Vicente
authors.forename: Antonio
authors.initials: A
authors.lastname: Arroyo
authors.forename: Rafael
authors.initials: R
authors.lastname: Calpena
mesh_terms: D000230:Adenocarcinoma / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000473:pathology / Q000556:secondary* / Q000601:surgery; D000368:Aged; D006801:Humans; D008175:Lung Neoplasms / Q000175:diagnosis / Q000473:pathology* / Q000601:surgery; D008297:Male; D013156:Splenectomy; D013160:Splenic Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology / Q000556:secondary* / Q000601:surgery; D014057:Tomography, X-Ray Computed