Synchronous Isolated Distant Metastasis to Spleen From Colon Adenocarcinoma
Accepted 4 March 2009.
Summary
The most common site of metastasis from colorectal carcinoma is the liver. Isolated splenic metastasis from colorectal carcinomas is uncommon. We report a case of an 84-year-old man with synchronous isolated splenic metastasis from colon carcinoma. The splenic tumor was incidentally found by ultrasound and computer tomography. The patient underwent left hemicolectomy and splenectomy, and histology of spleen confirmed a metastatic adenocarcinoma from colonic carcinoma. The literature recommends close attention to the spleen in the patients with colonic carcinoma, and surgery may be possible in patients with isolated splenic metastasis.
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aDivision of Gastroenterology, Department of Internal Medicine, Mackay Memorial Hospital, Taipei, Taiwan
bMackay Medicine, Nursing and Management College, Taipei, Taiwan
cDepartment of Pathology, Mackay Memorial Hospital, Taipei, Taiwan
dDivision of Gastroenterology, Department of Internal Medicine, Mackay Memorial Hospital, Taitung, Taiwan
Correspondence to: Dr Ming-Jong Bair, Division of Gastroenterology, Department of Internal Medicine, Mackay Memorial Hospital, 1, Lane 303, Changsha Street, Taitung City, Taiwan
ABSTRACT