Kouame J, Vankemmel M
Department of Digestive General Surgery, Hôpital Huriez, Lille, France.
Acta Chir Belg. 1998 Oct;98(5):225-7.
Clinical, diagnostic and therapeutic characteristics of a case of a fallopian tube adenocarcinoma splenic metastasis are reported. This case illustrates the diagnostic difficulties of this situation. These difficulties are both related to the poorly specific symptomatology and the low specificity of the current imagery. Percutaneous biopsy aspiration guided by ultrasonography or CT-scan could be helpful. The treatment is surgery, eventually combined with adjuvant radiotherapy: it can allow a long survival time. Splenic metastasis should be systematically checked up in every tumoral context.
报告了一例输卵管腺癌脾转移病例的临床、诊断和治疗特征。该病例说明了这种情况的诊断困难。这些困难既与症状缺乏特异性有关，也与当前影像学检查特异性低有关。超声或CT引导下的经皮活检抽吸可能会有所帮助。治疗方法是手术，最终可联合辅助放疗：这可以延长生存时间。在每种肿瘤情况下都应系统地检查是否存在脾转移。
