Journal of the Korean Surgical Society  2004;67(1):87-91

Ruptured Solitary Splenic Metastasis of Gastric Cancer after Gastric Cancer Operation.

Bo Sung SOHN 1 ; Kee Hwan KIM ; Hak Jun SEO ; Ji Il KIM ; Chang Hyeok AHN ; Jeong Soo KIM ; Young Mi KU ; Ok Ran SHIN ; Keun Woo LIM

Affiliations

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Keywords

Stomach cacer; Solitary splenic metastasis; Spleen rupture

Country

Republic of Korea

Language

Korean

Abstract

Solitary malignant splenic metastasis is uncommon and usually occurs in association with widely disseminated metastatic disease. Splenic metastasis usually occurs late in the disease course, with widespread involvement of other organs and rarely shows any presenting symptoms. Virtually all primary tumors have been known to metastasize to the spleen. The common ones include melanoma, lung, breast and ovary cancer, but metastasis from gastric cancer is very rare. When solitary spleen metastasis is suspected in a clinical setting, aggressive treatment is indicated such as splenectomy followed by combined modality treatment to prevent dissemination of the disease. We experienced a case of solitary spleen metastasis and rupture after gastric cancer operation and reviewed the associated literatures.