title: Solitary giant splenic metastasis in a patient with metachronous gastric cancers.
abstract: 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.
authors: Institute of Pathology, Medical University Graz, A-8036 Graz, Austria.
authors: Sandra
authors: S
authors: Sunitsch
authors: Thomas
authors: T
authors: Eberl
authors: Michael
authors: M
authors: Jagoditsch
authors: Ute
authors: U
authors: Filipot
authors: Jörg
authors: J
authors: Tschmelitsch
authors: Cord
authors: C
authors: Langner
mesh_terms: 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*