Intrahepatic Splenosis Mimicking Liver Metastasis in a Patient with Gastric Cancer.
- Author:
Kyu Chul KANG
1
;
Gyu Seok CHO
;
Gui Ae CHUNG
;
Gil Ho KANG
;
Yong Jin KIM
;
Moon Soo LEE
;
Hee Kyung KIM
;
Seong Jin PARK
Author Information
- Publication Type:Case Report
- Keywords: Stomach neoplasms; Splenosis; Neoplasm metastasis; Liver
- MeSH: Accidents, Traffic; Biopsy, Fine-Needle; Gastrectomy; Humans; Liver; Magnetic Resonance Imaging; Mastectomy, Segmental; Neoplasm Metastasis; Nephrectomy; Splenectomy; Splenosis; Stomach; Stomach Neoplasms
- From:Journal of Gastric Cancer 2011;11(1):64-68
- CountryRepublic of Korea
- Language:English
- Abstract: A 54 year old man was referred to our hospital with gastric cancer. The patient had a history of splenectomy and a left nephrectomy as a result of a traffic accident 15 years earlier. The endoscopic findings were advanced gastric cancer at the lower body of the stomach. Abdominal ultrasonography (USG) and magnetic resonance imaging demonstrated a metastatic nodule in the S2 segment of the liver. Eventually, the clinical stage was determined to be cT2cN1cM1 and a radical distal gastrectomy, lateral segmentectomy of the liver were performed. The histopathology findings confirmed the diagnosis of intrahepatic splenosis, omental splenosis. Hepatic splenosis is not rare in patients with a history of splenic trauma or splenectomy. Nevertheless, this is the first report describing a patient with gastric cancer and intrahepatic splenosis that was misinterpreted as a liver metastatic nodule. Intra-operative USG guided fine needle aspiration should be considered to avoid unnecessary liver resections in patients with a suspicious hepatic metastasis.
