Intrahepatic Splenosis Mimicking Liver Metastasis in a Patient with Gastric Cancer
Journal of Gastric Cancer
;
: 64-68, 2011.
Article
in English
| WPRIM
| ID: wpr-103354
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.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Splenectomy
/
Stomach
/
Stomach Neoplasms
/
Magnetic Resonance Imaging
/
Mastectomy, Segmental
/
Accidents, Traffic
/
Splenosis
/
Biopsy, Fine-Needle
/
Gastrectomy
/
Liver
Limits:
Humans
Language:
English
Journal:
Journal of Gastric Cancer
Year:
2011
Type:
Article
Similar
MEDLINE
...
LILACS
LIS