Giant splenic metastasis due to lung adenocarcinoma.
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.
Sánchez-Romero
Ana
A
Servicio de Cirugía General y del Aparato Digestivo, Hospital General Universitario de Elche, Elche, Alicante, Spain. anasanchez2@yahoo.es
Oliver
Israel
I
Costa
David
D
Orduña
Albina
A
Lacueva
Javier
J
Pérez-Vicente
Francisco
F
Arroyo
Antonio
A
Calpena
Rafael
R
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