Abdominal pain as initial presentation of lung cancer.
Isolated spleen metastasis (ISM) in general is very rare with a reported incidence of 2.3-7.1% for all solid cancers. Lung cancers rarely metastasise to the spleen. It is very atypical for ISM to be the initial presentation of lung cancer as well. In our case, a 55-year-old woman presented with a 3-week history of left-sided abdominal fullness and dull pain. Workup was remarkable for splenic mass that turns out to be adenocarcinoma with unknown primary tumour. Biopsy of the mass with immunohistochemistry and whole body position emission tomography scan was able to identify lung cancer as the primary tumour. The patient underwent splenectomy, wedge resection of the lung mass along with short-course of chemotherapy. She never had any recurrences since then.
Appartment, Shrewsbury, Massachusetts, USA.
Naseem
N
Eisa
Department of Internal Medicine, William Beaumont Hospital, Royal Oak, Michigan, USA.
Bishr
B
Alhafez
Department of Pulmonary Diseases, Critical Care, & Environmental Medicine, Tulane University Health Sciences Center, New Orleans, Louisiana, USA.
Abdul Hamid
AH
Alraiyes
Department of Hospital Medicine, Cleveland Clinic, Cleveland, Ohio, USA.
M Chadi
MC
Alraies
D015746:Abdominal Pain / Q000209:etiology*; D000230:Adenocarcinoma / Q000150:complications / Q000556:secondary* / Q000601:surgery; D002283:Carcinoma, Bronchogenic / Q000473:pathology* / Q000601:surgery; D005260:Female; D006801:Humans; D008168:Lung / Q000473:pathology* / Q000601:surgery; D008175:Lung Neoplasms / Q000188:drug therapy / Q000473:pathology* / Q000601:surgery; D008875:Middle Aged; D013154:Spleen / Q000473:pathology* / Q000601:surgery; D013156:Splenectomy; D013160:Splenic Neoplasms / Q000150:complications / Q000556:secondary* / Q000601:surgery; D014057:Tomography, X-Ray Computed