Kulig Jan, Matyja Andrzej, Kowalewski Maciej, Kratochwil Marian
I Katedra Chirurgii Ogólnej i Klinika Chirurgii Gastroenterologicznej, Collegium Medicum Uniwersytetu Jagiellońskiego.
Folia Med Cracov. 2009;50(3-4):71-6.
Isolated metastatic tumor of the spleen is rare and usually encompass the presence of neoplasmatic dissemination. The most frequent location of metastasis is right lobe of the liver, however solitaire secondary tumor to distant organ such as brain, lung, bone marrow or other might be discovered. This report refers to the 15th case of isolated intrasplenic metastasis from colon and rectal cancer. Splenectomy is a method of choice therefore may be justified in presence of isolated metastatic disease, because of low complication rate, providing potential long-term survival.
脾脏孤立性转移瘤罕见,通常意味着存在肿瘤播散。最常见的转移部位是肝右叶,不过也可能发现孤立性转移至脑、肺、骨髓或其他远处器官的继发性肿瘤。本报告涉及第15例来自结肠癌和直肠癌的脾脏孤立性转移病例。脾切除术是首选方法,因此在存在孤立性转移性疾病时可能是合理的,因为其并发症发生率低,有可能实现长期生存。