Solitary giant splenic metastasis in a patient with metachronous gastric cancers.
Splenic metastases from solid tumors are uncommon. They may be observed in a context of multivisceral dissemination or as a solitary lesion. We report the case of an 80-year-old woman with a history of two metachronous gastric cancers treated with distal gastrectomy and resection of the gastric remnant within a period of 15 years, who presented with a huge splenic tumor mass three years after the second operation. Splenectomy was performed. The resection specimens showed a well-circumscribed solid lesion measuring 15 cm in the largest diameter. Histology revealed metastatic gastric cancer. The differential diagnosis and clinical significance of this rare condition is discussed.
Sunitsch
Sandra
S
Institute of Pathology, Medical University Graz, A-8036 Graz, Austria.
Eberl
Thomas
T
Jagoditsch
Michael
M
Filipot
Ute
U
Tschmelitsch
Jörg
J
Langner
Cord
C
D000231:Adenocarcinoma, Papillary / Q000473:pathology / Q000556:secondary* / Q000601:surgery; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D013156:Splenectomy; D013160:Splenic Neoplasms / Q000556:secondary* / Q000601:surgery; D013274:Stomach Neoplasms / Q000473:pathology*