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Splenic metastasis from lung cancer
A Kinoshita1, M Nakano, M Fukuda
1Department of Internal Medicine, Nagasaki City Hospital, Japan.
The Netherlands Journal of Medicine
|November 1, 1995
Summary
Splenic metastasis from lung cancer is rare, often found incidentally at autopsy. Solitary splenic metastasis is exceptionally uncommon, necessitating careful therapeutic planning.
Area of Science:
- Oncology
- Pathology
Background:
- Splenic metastasis from lung cancer is an infrequent occurrence.
- Diagnosis is typically made post-mortem.
Observation:
- Two cases of splenic metastasis from primary lung cancer are presented.
- An autopsy review of 267 lung cancer cases revealed 15 instances (5.6%) of splenic metastasis.
- Splenic metastasis was more common from left-sided lung cancers.
Findings:
- Most splenic metastases (9 of 15) were less than 1 cm.
- Splenic metastasis frequently co-occurred with metastasis to the liver and pancreas.
- All autopsy cases with splenic metastasis also had metastasis to other abdominal organs.
Implications:
- Solitary splenic metastasis is a rare finding.
- Appropriate therapeutic strategies are crucial for managing this condition.