title: Isolated splenic metastasis from rectal carcinoma: a rare occurrence.
abstract: The presence of isolated splenic metastasis in rectal carcinoma is uncommon and usually presents as an asymptomatic mass, noted incidentally on imaging. Splenectomy is usually performed with the goal of curing metastatic disease. It is unclear if adjuvant chemotherapy affords any benefit, and the prognosis is unknown. The case of a young woman is reported, in whom an isolated metastatic lesion in the spleen was discovered 9 months after adjuvant chemotherapy for stage III rectal adenocarcinoma. The patient has remained disease-free for nearly 5 years following splenectomy and chemotherapy. To our knowledge, this is the fourth reported case in the English literature of an isolated splenic metastatic lesion from rectal cancer. We discuss the unique presentation, the importance of post-treatment surveillance, and the implementation of multi-modality treatment strategies in this young patient.
authors: Departments of Medicine, Weill Cornell Medical College, New York, N.Y., USA.
authors: Sarika
authors: S
authors: Jain
authors: Sumeet
authors: S
authors: Munjal
authors: Rhonda K
authors: RK
authors: Yantiss
authors: Toyooki
authors: T
authors: Sonoda
authors: Thomas J
authors: TJ
authors: Fahey
authors: Joseph T
authors: JT
authors: Ruggiero
authors: Alok
authors: A
authors: Anand
authors: Adam
authors: A
authors: Gersten
authors: Stanley J
authors: SJ
authors: Goldsmith
authors: Allyson J
authors: AJ
authors: Ocean