• Medicine · Jan 2023

    Review Case Reports

    Isolated splenic metastases from rectal carcinoma 5 years after surgery: Case report.

    • Jie Xu, Yanan He, Yu Cai, Yi Huang, and Yuanyang He.
    • Hepatobiliary Surgery, Jiangyou People's Hospital, Sichuan Province, China.
    • Medicine (Baltimore). 2023 Jan 13; 102 (2): e32493e32493.

    IntroductionSplenic malignancies are mostly lymphocytic tumors and splenic metastases are rarer.[1] According to reports, the most common source of splenic metastases include melanoma, tumors of the breast, lung, ovary, colon, stomach, and pancreas.[2,3].Patient ConcernsThis paper reports a 41-year-old male patient who underwent a successful resection of low rectal cancer in our hospital 5 years ago.DiagnosisThree months ago, computed tomography scan revealed a tumor in the spleen, considered as an isolated metastasis.InterventionsThe patient underwent splenectomy and postoperative pathological examination confirmed metastatic adenocarcinoma.OutcomesThe patient was followed up for 3 months after surgery, there was no abdominal metastasis or recurrence.ConclusionThe splenic metastasis from rectal carcinoma 5 years after surgery is rare. If it is a solitary splenic metastasis, splenectomy can effectively improve the prognosis of patients. We review the literature and report this case.Copyright © 2023 the Author(s). Published by Wolters Kluwer Health, Inc.

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