title: A metachronous splenic metastases from esophageal cancer: a case report.
abstract: The spleen is an infrequent site for metastatic lesions, and solitary splenic metastases from squamous cell carcinoma of the esophagus are very rare: only 4 cases have been reported thus far. These lesions are whitish nodules that are macroscopically and radiologically similar to primary splenic lymphomas. We report a case of metachronous splenic metastases from esophageal cancer and multiple splenic abscesses, which developed nine months after apparently curative esophagectomy without adjuvant chemotherapy. The patient underwent splenectomy dissection followed by adjuvant chemotherapy, but liver and skin metastases developed, and the patient died 9 months later.
authors.affiliation: Department of Surgery, Fondazione IRCCS Policlinico San Matteo and University of Pavia, Pavia, Italy. ivanbot@yahoo.it
authors.forename: Ivan
authors.initials: I
authors.lastname: Botrugno
authors.forename: Vassili
authors.initials: V
authors.lastname: Jemos
authors.forename: Lorenzo
authors.initials: L
authors.lastname: Cobianchi
authors.forename: Giacomo
authors.initials: G
authors.lastname: Fiandrino
authors.forename: Silvia
authors.initials: S
authors.lastname: Brugnatelli
authors.forename: Vittorio
authors.initials: V
authors.lastname: Perfetti
authors.forename: Alessandro
authors.initials: A
authors.lastname: Vercelli
authors.forename: Marcello
authors.initials: M
authors.lastname: Maestri
authors.forename: Paolo
authors.initials: P
authors.lastname: Dionigi
mesh_terms: D001706:Biopsy; D002294:Carcinoma, Squamous Cell / Q000175:diagnosis / Q000556:secondary* / Q000601:surgery; D003937:Diagnosis, Differential; D016099:Endoscopy, Gastrointestinal; D004938:Esophageal Neoplasms / Q000473:pathology* / Q000601:surgery; D016629:Esophagectomy; D017809:Fatal Outcome; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D013156:Splenectomy; D013160:Splenic Neoplasms / Q000175:diagnosis / Q000556:secondary* / Q000601:surgery; D014057:Tomography, X-Ray Computed