A case of metastatic splenic tumor

Abstract

Splenic metastasis secondary to a malignancy is rare ; case reports of splenic metastases from colorectal cancer or gastric cancer which were surgically resected are occasionally reported. However, case reports of splenic metastases from ovarian or uterine cancers are quite rare. We report a case of splecic metastasis from an endometrial cancer. The patient was a 57-year-old female who underwent hysterectomy for endometrial cancer a year prior. The PET-CT scan showed a solitary splenic tumor that was considered to be related to sarcoidosis ; it was thus followed. However, the splenic tumor enlarged and a CT-guided biopsy was performed. The splenic tumor was found to be a metastasis from the endometrial cancer. A splenectomy was performed since no other metastases were found. However, it was found that tumor had metastasized to the lymph nodes and had invaded the gastric wall.