Intrahepatic Splenosis Mimicking Liver Metastasis in a Patient with Gastric Cancer
Journal of Gastric Cancer
; : 64-68, 2011.
Article
in En
| WPRIM
| ID: wpr-103354
Responsible library:
WPRO
ABSTRACT
A 54 year old man was referred to our hospital with gastric cancer. The patient had a history of splenectomy and a left nephrectomy as a result of a traffic accident 15 years earlier. The endoscopic findings were advanced gastric cancer at the lower body of the stomach. Abdominal ultrasonography (USG) and magnetic resonance imaging demonstrated a metastatic nodule in the S2 segment of the liver. Eventually, the clinical stage was determined to be cT2cN1cM1 and a radical distal gastrectomy, lateral segmentectomy of the liver were performed. The histopathology findings confirmed the diagnosis of intrahepatic splenosis, omental splenosis. Hepatic splenosis is not rare in patients with a history of splenic trauma or splenectomy. Nevertheless, this is the first report describing a patient with gastric cancer and intrahepatic splenosis that was misinterpreted as a liver metastatic nodule. Intra-operative USG guided fine needle aspiration should be considered to avoid unnecessary liver resections in patients with a suspicious hepatic metastasis.
Key words
Full text:
1
Index:
WPRIM
Main subject:
Splenectomy
/
Stomach
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Stomach Neoplasms
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Magnetic Resonance Imaging
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Mastectomy, Segmental
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Accidents, Traffic
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Splenosis
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Biopsy, Fine-Needle
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Gastrectomy
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Liver
Limits:
Humans
Language:
En
Journal:
Journal of Gastric Cancer
Year:
2011
Type:
Article