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Endobronchial Ultrasound-guided Intratumoral Injection of Cisplatin for the Treatment of Isolated Mediastinal Recurrence of Lung Cancer
Published on: February 12, 2017
[Splenic metastasis from a bronchial carcinoma]
P Assouline1, M-B Leger-Ravet, J-C Paquet
1Service de Pneumologie, Hôpital de Longjumeau, Longjumeau, France. Pascal.ASSOULINE@ch-longjumeau.fr
Revue Des Maladies Respiratoires
|June 22, 2006
Summary
Isolated splenic metastasis from lung cancer is rare. Surgical removal (splenectomy) can relieve pain and potentially prolong survival if the primary cancer is controlled.
Area of Science:
- Oncology
- Surgical Oncology
Background:
- Bronchial carcinoma (lung cancer) rarely metastasizes to the spleen as an isolated finding.
- This case highlights an exceptionally uncommon presentation of advanced lung cancer.
Observation:
- A patient presented with severe abdominal pain and declining health 21 months post-pneumonectomy for undifferentiated large cell carcinoma.
- Imaging and subsequent splenectomy confirmed an isolated splenic metastasis.
Findings:
- Splenectomy successfully relieved severe abdominal pain associated with the splenic tumor.
- The patient remains in complete remission two years after splenectomy without adjuvant therapy.
Implications:
- Splenectomy may prevent complications like splenic rupture and vascular compression from isolated splenic metastases.
- For select patients with controlled primary lung cancer and isolated splenic metastasis, splenectomy might offer a chance for prolonged survival.
