Isolated Splenic Metastasis from Rectal Carcinoma: A Rare Occurrence
The presence of isolated splenic metastasis in rectal carcinoma is uncommon and usually presents as an asymptomatic mass, noted incidentally on imaging. Splenectomy is usually performed with the goal of curing metastatic disease. It is unclear if adjuvant chemotherapy affords any benefit, and the pr...
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Format: | Article |
Language: | English |
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Karger Publishers
2011-10-01
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Series: | Case Reports in Oncology |
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Online Access: | http://www.karger.com/Article/FullText/333446 |
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author | Sarika Jain Sumeet Munjal Rhonda K. Yantiss Toyooki Sonoda Thomas J. Fahey Joseph T. Ruggiero Alok Anand Adam Gersten Stanley J. Goldsmith Allyson J. Ocean |
author_facet | Sarika Jain Sumeet Munjal Rhonda K. Yantiss Toyooki Sonoda Thomas J. Fahey Joseph T. Ruggiero Alok Anand Adam Gersten Stanley J. Goldsmith Allyson J. Ocean |
author_sort | Sarika Jain |
collection | DOAJ |
description | The presence of isolated splenic metastasis in rectal carcinoma is uncommon and usually presents as an asymptomatic mass, noted incidentally on imaging. Splenectomy is usually performed with the goal of curing metastatic disease. It is unclear if adjuvant chemotherapy affords any benefit, and the prognosis is unknown. The case of a young woman is reported, in whom an isolated metastatic lesion in the spleen was discovered 9 months after adjuvant chemotherapy for stage III rectal adenocarcinoma. The patient has remained disease-free for nearly 5 years following splenectomy and chemotherapy. To our knowledge, this is the fourth reported case in the English literature of an isolated splenic metastatic lesion from rectal cancer. We discuss the unique presentation, the importance of post-treatment surveillance, and the implementation of multi-modality treatment strategies in this young patient. |
first_indexed | 2024-04-13T12:41:46Z |
format | Article |
id | doaj.art-59038bbc239743ccb0f32547ddcb06a0 |
institution | Directory Open Access Journal |
issn | 1662-6575 |
language | English |
last_indexed | 2024-04-13T12:41:46Z |
publishDate | 2011-10-01 |
publisher | Karger Publishers |
record_format | Article |
series | Case Reports in Oncology |
spelling | doaj.art-59038bbc239743ccb0f32547ddcb06a02022-12-22T02:46:29ZengKarger PublishersCase Reports in Oncology1662-65752011-10-014349950410.1159/000333446333446Isolated Splenic Metastasis from Rectal Carcinoma: A Rare OccurrenceSarika JainSumeet MunjalRhonda K. YantissToyooki SonodaThomas J. FaheyJoseph T. RuggieroAlok AnandAdam GerstenStanley J. GoldsmithAllyson J. OceanThe presence of isolated splenic metastasis in rectal carcinoma is uncommon and usually presents as an asymptomatic mass, noted incidentally on imaging. Splenectomy is usually performed with the goal of curing metastatic disease. It is unclear if adjuvant chemotherapy affords any benefit, and the prognosis is unknown. The case of a young woman is reported, in whom an isolated metastatic lesion in the spleen was discovered 9 months after adjuvant chemotherapy for stage III rectal adenocarcinoma. The patient has remained disease-free for nearly 5 years following splenectomy and chemotherapy. To our knowledge, this is the fourth reported case in the English literature of an isolated splenic metastatic lesion from rectal cancer. We discuss the unique presentation, the importance of post-treatment surveillance, and the implementation of multi-modality treatment strategies in this young patient.http://www.karger.com/Article/FullText/333446Solitary splenic metastasisSplenectomyChemotherapySurveillance |
spellingShingle | Sarika Jain Sumeet Munjal Rhonda K. Yantiss Toyooki Sonoda Thomas J. Fahey Joseph T. Ruggiero Alok Anand Adam Gersten Stanley J. Goldsmith Allyson J. Ocean Isolated Splenic Metastasis from Rectal Carcinoma: A Rare Occurrence Case Reports in Oncology Solitary splenic metastasis Splenectomy Chemotherapy Surveillance |
title | Isolated Splenic Metastasis from Rectal Carcinoma: A Rare Occurrence |
title_full | Isolated Splenic Metastasis from Rectal Carcinoma: A Rare Occurrence |
title_fullStr | Isolated Splenic Metastasis from Rectal Carcinoma: A Rare Occurrence |
title_full_unstemmed | Isolated Splenic Metastasis from Rectal Carcinoma: A Rare Occurrence |
title_short | Isolated Splenic Metastasis from Rectal Carcinoma: A Rare Occurrence |
title_sort | isolated splenic metastasis from rectal carcinoma a rare occurrence |
topic | Solitary splenic metastasis Splenectomy Chemotherapy Surveillance |
url | http://www.karger.com/Article/FullText/333446 |
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