Solitary Splenic Metastasis from Ovarian Cancer Managed by Laparoscopic Splenectomy

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  • Asami Keiichi
    Department of Surgery, Nippon Medical School Tama Nagayama Hospital
  • Yoshida Hiroshi
    Department of Surgery, Nippon Medical School Tama Nagayama Hospital
  • Hirakata Atsushi
    Department of Surgery, Nippon Medical School Tama Nagayama Hospital
  • Makino Hiroshi
    Department of Surgery, Nippon Medical School Tama Nagayama Hospital
  • Nakai Akihito
    Department of Gynecology, Nippon Medical School Tama Nagayama Hospital
  • Uchida Eiji
    Department of Gastrointestinal Surgery, Nippon Medical School

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Other Title
  • 腹腔鏡下脾臓摘出術を施行した卵巣癌術後孤立性脾転移の1例
  • 症例報告 腹腔鏡下脾臓摘出術を施行した卵巣癌術後孤立性脾転移の1例
  • ショウレイ ホウコク フククウキョウ カ ヒゾウ テキシュツジュツ オ シコウ シタ ランソウ ガン ジュツゴ コリツセイヒテンイ ノ 1レイ

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A 67-year old woman underwent bilateral oophorectomy for the treatment of ovarian cancer (serous adenocarcinoma, pT3cN0M0 Stage IIIc) in 2012, and postoperative chemotherapy was started. Ten months after operation, the serum level of CA125 was elevated (57.6 U/mL). Eighteen months after operation, an abdominal CT scan showed a mass in the spleen, 15 mm in diameter. Twenty three months after operation, splenic mass had increased to 24 mm in diameter. We diagnosed solitary splenic metastasis from ovarian cancer, and performed laparoscopic splenectomy. The pathological diagnosis of the splenic tumor was serous adenocarcinoma compatible with metastasis from ovarian cancer. She was discharged on 5th postoperative days and underwent another adjuvant chemotherapy. Since solitary splenic metastasis from ovarian cancer is rare. The laparoscopic splenectomy is a safe and effective for the management of splenic tumors.

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