Giuliani A, Caporale A, Di Bari M, Demoro M, Mingazzini P
Istituto I Clinica Chirurgica, Università La Sapienza, Rome, Italy.
J Exp Clin Cancer Res. 1999 Mar;18(1):93-6.
Splenic involvement by carcinomatous metastases occurs late in the course of widely disseminated disease. Solitary metastasis to the spleen from a primary of any source is an uncommon event. We report a case of a 58-year-old woman in which an asymptomatic solitary metastatic endometrial adenocarcinoma of the spleen was detected 28 months after resection of the primary malignancy and treated by splenectomy. There are thirteen other reported cases of solitary splenic metastasis from gynecological cancers; in four of these reports the source was endometrial.
癌性转移累及脾脏多发生于广泛播散性疾病病程的晚期。任何原发灶孤立转移至脾脏均属罕见。我们报告一例58岁女性病例，其在原发性恶性肿瘤切除28个月后检测到无症状的脾脏孤立性转移性子宫内膜腺癌，并接受了脾切除术。另有13例关于妇科癌症脾脏孤立转移的报道；其中4例报道的原发灶为子宫内膜。
