A Case of Laparoscopic Splenectomy for a Solitary Splenic Metastasis Diagnosed after Lobectomy for Lung Cancer

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  • Takayama Keita
    Department of Surgery, Japan Community Healthcare Organization (JCHO) Osaka Hospital
  • Sakai Kenji
    Department of Surgery, Japan Community Healthcare Organization (JCHO) Osaka Hospital
  • Ohashi Tomofumi
    Department of Surgery, Japan Community Healthcare Organization (JCHO) Osaka Hospital
  • Noro Hiroshi
    Department of Surgery, Japan Community Healthcare Organization (JCHO) Osaka Hospital
  • Yamasaki Yoshio
    Department of Surgery, Japan Community Healthcare Organization (JCHO) Osaka Hospital

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  • 原発性肺癌術後の孤立性脾転移に対し腹腔鏡下脾臓摘出術を施行した１例

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Abstract

<p>The patient was an 80-year-old woman who had undergone left lower lobectomy with aortic adventitia for left lower lobe lung cancer. Two years after the surgery, a thoracic CT revealed a single tumor in the spleen, and a repeat CT obtained 6 months later revealed that the tumor had increased in size. FDG-PET/CT showed abnormal uptake by the splenic tumor, but no other sites of abnormal uptake. We diagnosed the tumor as a solitary splenic metastasis from lung cancer and performed laparoscopic splenectomy. The histopathological characteristics of the tumor were the same as those of the primary lung cancer. we see the patient 36 months after the operation. Although lung cancer often metastasizes to multiple organs, isolated splenic metastasis is very rare. We report a case with a single splenic metastasis that was diagnosed after surgery for primary lung cancer.</p>

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