Lopera Carlos A, Vergnaud Jean Pierre, Matute-Turizo Gustavo, Pereira-Warr Salin
Antioquia University, El Bosque University, SOMA Clinic, Las Vegas Clinic, El Rosario Clinic, Medellin, Colombia.
School of Medicine, Pontificia Bolivariana University, LAPACI Laboratory and Integral pathology, Medellin, Colombia.
Case Rep Surg. 2018 Mar 14;2018:2620301. doi: 10.1155/2018/2620301. eCollection 2018.
Isolated splenic metastases are a rare finding. Though several primary tumors can produce splenic metastases, including lung carcinoma, there are very few documented cases of isolated splenic metastases from lung carcinoma. This report presents such a case in which the splenic metastasis was removed with laparoscopic splenectomy.
A 69-year-old woman with a history of lung carcinoma presented with several months of abdominal pain. Abdominal CT identified a splenic mass which was resected laparoscopically. Pathology confirmed a splenic metastasis from a primary large cell lung carcinoma.
Due to its anatomical and physiological characteristics, the spleen is a well-protected organ with respect to metastatic spread. The rarity of such metastases means that there is no evidence-based form of management. This case presents this rare metastatic occurrence and the successful management of the disease via laparoscopic splenectomy.
This case confirms that splenic metastases can result from a primary lung carcinoma. Furthermore, the case supports successful management of this pathology by laparoscopic splenectomy.
孤立性脾转移瘤是一种罕见的发现。尽管几种原发性肿瘤可产生脾转移，包括肺癌，但肺癌孤立性脾转移的文献记载病例极少。本报告介绍了一例通过腹腔镜脾切除术切除脾转移瘤的病例。
一名有肺癌病史的69岁女性出现数月腹痛。腹部CT发现一个脾脏肿块，通过腹腔镜进行了切除。病理证实为原发性大细胞肺癌的脾转移。
由于其解剖和生理特征，脾脏在转移扩散方面是一个受到良好保护的器官。这种转移瘤的罕见性意味着没有基于证据的管理方式。本病例展示了这种罕见的转移情况以及通过腹腔镜脾切除术对该疾病的成功治疗。
本病例证实脾转移可由原发性肺癌引起。此外，该病例支持通过腹腔镜脾切除术成功治疗这种病理情况。
