Abstract
A 72-year-old woman was seen at another hospital because of abdominal distension. She was admitted to our hospital for the examination of splenomegaly and liver tumors. Abdominal computed tomography (CT) showed a heterogeneously enhanced spleen and ring-enhanced multiple liver tumors. 18F-fluorodeoxyglucose positron emission tomography (FDG-PET) showed uptake in the spleen and liver tumors. We diagnosed a primary malignant splenic tumor with liver metastasis, and performed a splenectomy and biopsy for the liver tumor. Histopathological examination indicated hemangiosarcoma. We performed transcatheter arterial embolization (TAE) for multiple liver metastasis, and she was alive for one year with quality of life. Primary splenic hemangiosarcoma carries a poor prognosis and is rare, so that effective therapies for the disease have not been established as yet. TAE for liver matastasis may improve the prognosis.
