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Laparoscopic Splenectomy for Splenic Metastasis from Primary Lung Carcinoma
Carlos A Lopera1, Jean Pierre Vergnaud1, Gustavo Matute-Turizo2
1Antioquia University, El Bosque University, SOMA Clinic, Las Vegas Clinic, El Rosario Clinic, Medellin, Colombia.
Introduction:
Isolated splenic metastases are a rare finding. Though several primary tumors can produce splenic metastases, including lung carcinoma, there are very few documented cases of isolated splenic metastases from lung carcinoma. This report presents such a case in which the splenic metastasis was removed with laparoscopic splenectomy.
Presentation Of Case:
A 69-year-old woman with a history of lung carcinoma presented with several months of abdominal pain. Abdominal CT identified a splenic mass which was resected laparoscopically. Pathology confirmed a splenic metastasis from a primary large cell lung carcinoma.
Discussion:
Due to its anatomical and physiological characteristics, the spleen is a well-protected organ with respect to metastatic spread. The rarity of such metastases means that there is no evidence-based form of management. This case presents this rare metastatic occurrence and the successful management of the disease via laparoscopic splenectomy.
Conclusions:
This case confirms that splenic metastases can result from a primary lung carcinoma. Furthermore, the case supports successful management of this pathology by laparoscopic splenectomy.
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