[A case of metachronous splenic metastasis from gastric cancer].
A 76-year-old woman underwent a total gastrectomy with dissection of second group of lymph nodes for type 2 gastric cancer at the back wall of the middle stomach body. The gastric cancer was moderately differentiated adenocarcinoma, which involved the second group of lymph nodes. Tumor makers increased-the CEA level became 10.7 ng/mL and the CA19-9 level became 110 U/mL after the operation. CT scan showed a solitary splenic tumor sized about 60 mm in diameter. No other prominent metastatic lesions were demonstrated, so that a splenectomy was performed in February 2008. Histopathologically the splenic tumor was adenocarcinoma, and was diagnosed as metastasis of gastric cancer. The report which excised asynchronism spleen metastasis of a stomach cancer after the operation is very rare. She remains recurrence free 4 months later.
Sasakawa
Hirokazu
H
Dept. of Surgery, Suita Municipal Hospital.
Okada
Kazuyuki
K
Maruyama
Kentarou
K
Ohta
Hideo
H
Ide
Yoshito
Y
Murata
Kouhei
K
Yokouchi
Hideoki
H
Kinuta
Masakatsu
M
D000368:Aged; D014408:Biomarkers, Tumor / Q000097:blood; D005260:Female; D005743:Gastrectomy; D006801:Humans; D012074:Remission Induction; D013160:Splenic Neoplasms / Q000097:blood / Q000000981:diagnostic imaging / Q000556:secondary* / Q000601:surgery; D013274:Stomach Neoplasms / Q000097:blood / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D014057:Tomography, X-Ray Computed
D014408:Biomarkers, Tumor