卵巣癌術後孤立性脾転移の1例

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  • SOLITARY SPLENIC METASTASIS FROM OVARIAN CANCER-A CASE REPORT-

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A 48-year-old woman underwent hysterectomy and left oophorectomy under a diagnosis of hysteromyoma and endometriosis in March 1994. Although the left ovary was normal-sized, poorly differentiated adenocarcinoma was detected pathologically. The serum level of CA125 started to increase in July 1996. Abdominal MRI and CT revealed a tumorous lesion in the spleen. An operation was performed under a diagnosis of solitary metastasis to the spleen from the ovarian cancer in June 1997. The tumor was found in the hilum of the spleen, but there was no recurrent finding of the ovarian cancer, and so splenectomy was performed. The pathological diagnosis of the tumor was poorly differentiated adenocarcinoma as a metastasis from the ovarian cancer.<br> Solitary splenic metastasis from a malignant tumor is rare only 64 cases of solitary splenic metastasis have been reported in Japan. This paper reports the first case of solitary splenic metastasis from a normal-sized ovary carcinoma. In some cases of solitary splenic metastasis from ovarian cancer, good prognosis were obtained by chemotherapy following splenectomy. Therefore, splenectomy should be indicated to treat patients with solitary splenic metastasis from ovarian cancer.

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