title: Isolated splenic metastases from gastric carcinoma: a case report and literature review.
abstract: Isolated metastases to the spleen from gastric carcinoma is very rare. Only a few cases have been reported in the literature. We herein present a case of isolated splenic metastases in a 62-year-old man, occurring 12 mo after total gastrectomy for gastric carcinoma. The patient underwent a laparoscopic exploration, during which two lesions were found at the upper pole of the spleen, without involvement of other organs. A laparoscopic splenectomy was performed. Histological examination confirmed that the splenic tumor was a poorly differentiated adenocarcinoma similar to the primary gastric lesion. The postoperative course was uneventful and the patient has been well for 9 mo, with no tumor recurrence. The clinical data of 18 cases of isolated splenic metastases from gastric carcinoma treated by splenectomy were summarized after a literature review. To our knowledge, this is the first reported case of isolated splenic metastases undergoing laparoscopic splenectomy.
authors: Department of General Surgery, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou 310016, Zhejiang Province, China.
authors: Yi-Ping
authors: YP
authors: Zhu
authors: Yi-Ping
authors: YP
authors: Mou
authors: Jun-Jun
authors: JJ
authors: Ni
authors: Yu-Cheng
authors: YC
authors: Zhou
authors: Jin-Wei
authors: JW
authors: Jiang
authors: Zhi-Nong
authors: ZN
authors: Jiang
authors: Guan-Yu
authors: GY
authors: Wang
mesh_terms: D000230:Adenocarcinoma / Q000473:pathology* / Q000601:surgery; D001706:Biopsy; D005743:Gastrectomy; D006801:Humans; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D013156:Splenectomy / Q000379:methods; D013160:Splenic Neoplasms / Q000556:secondary* / Q000601:surgery; D013274:Stomach Neoplasms / Q000473:pathology* / Q000601:surgery; D013997:Time Factors; D014057:Tomography, X-Ray Computed
keywords: Laparoscopy; Metastasis; Splenectomy; Splenic neoplasms; Stomach neoplasms
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