Abstract
A solitary splenic metastasis from cecal cancer was diagnosed in a 68-year-old man who had undergone a right hemicolectomy for cecal cancer. Three years after the operation, a 2.5 cm, round, hypodense mass was detected in the spleen on CT. FDG-PET revealed strong uptake at the splenic mass ; no other lesion was discovered. A metachronous solitary splenic metastasis was suspected, and a laparoscopic-assisted splenectomy was performed. The operative time was 2 hours and 56 minutes ; the bleeding loss was 8 g. On postoperative histology, splenic metastasis from the cecal cancer was noted. The postoperative course was uneventful and the patient was discharged on the 8th day after surgery. The patient is alive without any recurrences or metastasis after 3 years of follow up.
