A CASE OF SOLITARY SPLENIC METASTASIS FROM OVARIAN CANCER RESECTED BY LAPAROSCOPIC SPLENECTOMY
腹腔鏡下に切除した卵巣癌術後孤立性脾転移の1例

Kazuhiro SUZUMURA, Toshihiro OKADA, Yasuhiko YOSHIDA, Yuichi KONDO, Yuji IIMURO, Jiro FUJIMOTO
2011 Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)  
A 62-year-old woman undergoing surgery to remove ovarian cancer and postoperative chemotherapy in M arch 2003 had been followed in the clinic until M arch 2010,when the serum level of CA125 started to increase. Fluorodeoxyglucose positron emission tomography(FDG-PET)showed abnormal uptake of FDG in the spleen. An abdominal CT scan showed a tumor in the spleen. Solitary metastasis to the spleen from ovarian cancer or primary splenic tumor was likely and we conducted laparoscopic splenectomy in
more » ... ril 2010. The pathological diagnosis of the tumor was adenocarcinoma compatible with metastasis from ovarian cancer. The patient' s postoperative course was uneventful. She was discharged on 6th postoperative days and underwent adjuvant chemotherapy as an outpatient. There have been no recurrence as of 4 months after the surgery. Since solitary splenic metastasis from ovarian cancer is rare, we report on this case with some bibliographical comments.
doi:10.3919/jjsa.72.1277 fatcat:jckvqdqemfhqxdmxtch2cxzz2a