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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Main Authors: 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
Format: Article
Language:English
Published: Karger Publishers 2011-10-01
Series:Case Reports in Oncology
Subjects:
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.
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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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