International Journal of Gerontology
Volume 3, Issue 4 , Pages 241-243, December 2009

Synchronous Isolated Distant Metastasis to Spleen From Colon Adenocarcinoma

  • Tze-Yu Shieh

      Affiliations

    • Division of Gastroenterology, Department of Internal Medicine, Mackay Memorial Hospital, Taipei, Taiwan
    • Mackay Medicine, Nursing and Management College, Taipei, Taiwan
    • ,
  • Tsang-En Wang

      Affiliations

    • Division of Gastroenterology, Department of Internal Medicine, Mackay Memorial Hospital, Taipei, Taiwan
    • Mackay Medicine, Nursing and Management College, Taipei, Taiwan
    • ,
  • Shou-Chuan Shih

      Affiliations

    • Division of Gastroenterology, Department of Internal Medicine, Mackay Memorial Hospital, Taipei, Taiwan
    • Mackay Medicine, Nursing and Management College, Taipei, Taiwan
    • ,
  • Wen-Hsiung Chang

      Affiliations

    • Division of Gastroenterology, Department of Internal Medicine, Mackay Memorial Hospital, Taipei, Taiwan
    • Mackay Medicine, Nursing and Management College, Taipei, Taiwan
    • ,
  • Yu-Jan Chan

      Affiliations

    • Department of Pathology, Mackay Memorial Hospital, Taipei, Taiwan
    • ,
  • Ming-Jong Bair

      Affiliations

    • Division of Gastroenterology, Department of Internal Medicine, Mackay Memorial Hospital, Taitung, Taiwan
    • Corresponding Author InformationCorrespondence to: Dr Ming-Jong Bair, Division of Gastroenterology, Department of Internal Medicine, Mackay Memorial Hospital, 1, Lane 303, Changsha Street, Taitung City, Taiwan

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.

Key Words:  colorectal cancer , splenectomy , splenic metastasis

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PII: S1873-9598(10)70007-7

doi:10.1016/S1873-9598(10)70007-7

International Journal of Gerontology
Volume 3, Issue 4 , Pages 241-243, December 2009

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