Abstract
We report a case of isolated splenic metastasis of gastric cancer, 6 years after excision in a 74-year-old woman. A total gastric resection was performed in October 1999 due to progressive gastric cancer. After surgery, the patient received low-dose FP theapy (5-FU+CDDP) for 1 year and oral immunochemotherapy (UFT+PSK) for 3 years. In January 2005, she started experiencing pain in the left hypochondrium and her CEA levels were elevated (239 ng/ml). A radiological image revealed a 6-cm shadow of an isolated tumor which was diagnosed as a splenic metastasis of gastric cancer, and her diaphragm and spleen were excised in April 2005. Histological findings were the same as the previous gastric tumor. Her CEA levels returned to normal after surgery, and she is currently taking TS-1.
Although splenic metastases of gastric cancer are considered distant metastases, excision should be encouraged since long-term survival is possible when isolated splenic metastases are excised.
