Department of General Surgery, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou 310016, Zhejiang Province, China.
World J Gastroenterol. 2013 Aug 21;19(31):5199-203. doi: 10.3748/wjg.v19.i31.5199.
Isolated metastases to the spleen from gastric carcinoma is very rare. Only a few cases have been reported in the literature. We herein present a case of isolated splenic metastases in a 62-year-old man, occurring 12 mo after total gastrectomy for gastric carcinoma. The patient underwent a laparoscopic exploration, during which two lesions were found at the upper pole of the spleen, without involvement of other organs. A laparoscopic splenectomy was performed. Histological examination confirmed that the splenic tumor was a poorly differentiated adenocarcinoma similar to the primary gastric lesion. The postoperative course was uneventful and the patient has been well for 9 mo, with no tumor recurrence. The clinical data of 18 cases of isolated splenic metastases from gastric carcinoma treated by splenectomy were summarized after a literature review. To our knowledge, this is the first reported case of isolated splenic metastases undergoing laparoscopic splenectomy.
胃癌孤立性脾转移非常罕见。仅有少数病例在文献中报道。我们在此报告 1 例 62 岁男性患者，在因胃癌行全胃切除术后 12 个月时发生孤立性脾转移。患者行腹腔镜探查术，术中发现脾上极有 2 处病变，未累及其他器官。行腹腔镜脾切除术。组织学检查证实脾肿瘤为低分化腺癌，与原发性胃病变相似。术后过程顺利，患者术后 9 个月无肿瘤复发，情况良好。通过文献复习总结了 18 例经脾切除术治疗的胃癌孤立性脾转移的临床资料。据我们所知，这是首例报道的行腹腔镜脾切除术治疗的孤立性脾转移病例。
