Document Detail

Isolated splenic metastases from gastric carcinoma: a case report and literature review.
MedLine Citation:
PMID:  23964159     Owner:  NLM     Status:  MEDLINE    
Isolated metastases to the spleen from gastric carcinoma is very rare. Only a few cases have been reported in the literature. We herein present a case of isolated splenic metastases in a 62-year-old man, occurring 12 mo after total gastrectomy for gastric carcinoma. The patient underwent a laparoscopic exploration, during which two lesions were found at the upper pole of the spleen, without involvement of other organs. A laparoscopic splenectomy was performed. Histological examination confirmed that the splenic tumor was a poorly differentiated adenocarcinoma similar to the primary gastric lesion. The postoperative course was uneventful and the patient has been well for 9 mo, with no tumor recurrence. The clinical data of 18 cases of isolated splenic metastases from gastric carcinoma treated by splenectomy were summarized after a literature review. To our knowledge, this is the first reported case of isolated splenic metastases undergoing laparoscopic splenectomy.
Yi-Ping Zhu; Yi-Ping Mou; Jun-Jun Ni; Yu-Cheng Zhou; Jin-Wei Jiang; Zhi-Nong Jiang; Guan-Yu Wang
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, Non-U.S. Gov't; Review    
Journal Detail:
Title:  World journal of gastroenterology : WJG     Volume:  19     ISSN:  2219-2840     ISO Abbreviation:  World J. Gastroenterol.     Publication Date:  2013 Aug 
Date Detail:
Created Date:  2013-08-21     Completed Date:  2014-01-29     Revised Date:  2014-05-20    
Medline Journal Info:
Nlm Unique ID:  100883448     Medline TA:  World J Gastroenterol     Country:  China    
Other Details:
Languages:  eng     Pagination:  5199-203     Citation Subset:  IM    
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MeSH Terms
Adenocarcinoma / pathology*,  surgery
Middle Aged
Splenectomy / methods
Splenic Neoplasms / secondary*,  surgery
Stomach Neoplasms / pathology*,  surgery
Time Factors
Tomography, X-Ray Computed

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