Isolated Splenic Metastasis from Colon Cancer: Case Report

Ramos C*, Santos V, Lopes AS, Ferreira C, Viana P, Quirino F and Miranda L

Department of General Surgery, Centro Hospitalar Universitário Lisboa Norte, Portugal

^*Correspondance to: Carlota Ramos 

 PDF  Full Text DOI: 10.25107/2474-1647.3618

Abstract

Spleen metastases are rare and when present, are usually associated with disseminated disease. A single splenic mass is more suggestive of a primary splenic lesion than a metastasis. Any primary malignancy can metastasize to the spleen, however, the most common tumors to metastasize are melanoma, breast, ovarian and lung carcinomas. Colorectal carcinoma rarely metastasizes to the spleen. The authors present a case of a 41-year-old woman, with a previous history of ascendant colon adenocarcinoma, treated with right hemicolectomy and adjuvant chemotherapy. On follow up, blood tests revealed an increase in tumor markers and Computed Tomography (CT) showed a single splenic mass. A percutaneous biopsy was performed and confirmed the presence of a splenic metastasis, and thus a splenectomy was performed. Because these lesions are rare and patients are usually asymptomatic, the degree of suspicion must be high. Surgery is frequently the treatment of choice and can be curative in the absence of other disease.

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Cite the article

Ramos C, Santos V, Lopes AS, Ferreira C, Viana P, Quirino F, et al. Isolated Splenic Metastasis from Colon Cancer: Case Report. Clin Surg. 2023; 8: 3618..