title: [A case of metachronous splenic metastasis from gastric cancer].
abstract: 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.
authors.affiliation: Dept. of Surgery, Suita Municipal Hospital.
authors.forename: Hirokazu
authors.initials: H
authors.lastname: Sasakawa
authors.forename: Kazuyuki
authors.initials: K
authors.lastname: Okada
authors.forename: Kentarou
authors.initials: K
authors.lastname: Maruyama
authors.forename: Hideo
authors.initials: H
authors.lastname: Ohta
authors.forename: Yoshito
authors.initials: Y
authors.lastname: Ide
authors.forename: Kouhei
authors.initials: K
authors.lastname: Murata
authors.forename: Hideoki
authors.initials: H
authors.lastname: Yokouchi
authors.forename: Masakatsu
authors.initials: M
authors.lastname: Kinuta
mesh_terms: 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
chemical_list: D014408:Biomarkers, Tumor