Haque M M, Kadir M I, Badruddoza S M, Alom M A, Kamal M M
Department of Surgery, Rajshahi Medical College, Rajshahi, Bangladesh.
Mymensingh Med J. 2013 Apr;22(2):410-2.
Metastatic squamous cell carcinoma of spleen is a very rare occurrence and a very small number of cases have been reported so far, mostly in autopsy series. More commonly observed metastasis to the spleen are from breast, lungs, colorectal organs and ovaries. Interestingly enough the spleen is very unusual site of metastasis from an esophageal malignancy, only very few cases (four cases up to 2005) being reported in the literature. A case of splenic metastasis from carcinoma of the esophagus in a 60 years old woman is presented in this report. Extraordinary merit of this case is that carcinoma of the esophagus was diagnosed after the patient had been operated for splenic abscess and was histologically diagnosed as metastatic squamous cell carcinoma of spleen. The patient underwent splenectomy and recovered well. Only during post operative period endoscopic examination of upper GIT with biopsy revealed carcinoma of the esophagus. Further investigations failed to delineate any other organ involvement. So, this case is being reported as metastatic squamous cell carcinoma of spleen from carcinoma of esophagus.
脾脏转移性鳞状细胞癌极为罕见，迄今为止仅有少数病例报道，大多来自尸检系列。更常见的脾脏转移瘤原发于乳腺、肺、结直肠器官和卵巢。有趣的是，脾脏是食管恶性肿瘤非常罕见的转移部位，文献中仅报道过极少数病例（截至2005年有4例）。本报告介绍了一名60岁女性食管癌细胞转移至脾脏的病例。该病例的特殊之处在于，患者因脾脓肿接受手术后，经组织学诊断为脾脏转移性鳞状细胞癌，随后才确诊为食管癌。患者接受了脾切除手术，恢复良好。仅在术后对上消化道进行内镜检查并活检时才发现食管癌。进一步检查未发现其他器官受累。因此，本病例报告为食管癌细胞转移至脾脏的转移性鳞状细胞癌。
