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Case Reports
. 2004 Dec 22:4:96.
doi: 10.1186/1471-2407-4-96.

Splenectomy for solitary splenic metastasis of ovarian cancer

Yang Seok Koh  1 , Jung Chul Kim, Chol Kyoon Cho
Affiliations
Case Reports

Splenectomy for solitary splenic metastasis of ovarian cancer

Yang Seok Koh et al. BMC Cancer. .

Abstract

Background: Splenic metastases occur in rare cases with a few case reports of patients in the literature. Generally, splenic metastases mean late dissemination of a disease. Solitary splenic metastases from solid tumors are extremely unusual.

Case presentation: We report a case of a patient with ovarian mucinous cystadenocarcinoma who underwent splenectomy for isolated parenchymal metastasis.

Conclusion: Ovarian epithelial tumors comprised most of isolated splenic metastases from gynecologic tumor. When isolated splenic recurrence is suspected on image studies and serum tumor markers, intraabdominal gross findings should be examined to exclude peritoneal carcinomatosis. If only spleen was under suspicion of recurrence of ovarian cancer, splenectomy may play a therapeutic role.

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Figures

Figure 1
Figure 1
Abdomen CT shows 9 × 8 cm-sized multiseptated cystic lesion with inner calcification in the spleen.
Figure 2
Figure 2
The section reveals papillary hyperplasia of mucinous lining epithelium with stratification and atypism (H&E stain, ×250).
See this image and copyright information in PMC

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