Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2023 Jan 13;102(2):e32493.
doi: 10.1097/MD.0000000000032493.

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

Affiliations
Review

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

Jie Xu et al. Medicine (Baltimore). .

Abstract

Introduction: Splenic 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 concerns: This paper reports a 41-year-old male patient who underwent a successful resection of low rectal cancer in our hospital 5 years ago.

Diagnosis: Three months ago, computed tomography scan revealed a tumor in the spleen, considered as an isolated metastasis.

Interventions: The patient underwent splenectomy and postoperative pathological examination confirmed metastatic adenocarcinoma.

Outcomes: The patient was followed up for 3 months after surgery, there was no abdominal metastasis or recurrence.

Conclusion: The 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.

PubMed Disclaimer

Conflict of interest statement

The authors have no conflicts of interest to disclose.

Figures

Figure 1.
Figure 1.
Computed tomography (CT) scan of a patient with splenic metastasis from rectal carcinoma.

References

    1. Inouye1 CM, Anagnostou V, Li QK. Primary parotid adenocarcinoma metastasis to the spleen with PIK3CA mutation: cytological findings and review of the literature. Int J Clin Exp Pathol. 2017;10:5999–6005. - PMC - PubMed
    1. Rizzo F, Calamia S, Mingoia G, et al. . Isolated metachronous splenic metastasis from colon cancer: possible explanations for this rare entity. J Gastrointest Cancer. 2019;50:143–6. - PubMed
    1. Hasadia R, Kazarin O, Sofer O, et al. . Splenectomy for breast carcinoma diffusely metastatic to the spleen presenting as severe transfusion-dependent anaemia and thrombocytopaenia. BMJ Case Rep. 2018;11:e223453. - PMC - PubMed
    1. Kaza RK, Azar S, Al-Hawary MM, et al. . Primary and secondary neoplasms of the spleen. Cancer Imaging. 2010;10:173–82. - PMC - PubMed
    1. Ohe C, Sakaida N, Yanagimoto Y, et al. . A case of splenic low-grade mucinous cystadenocarcinoma resulting in pseudomyxoma peritonei. Med Mol Morphol. 2010;43:235–40. - PubMed