Case report of splenic and bone marrow metastasis from breast cancer and literature review / 国际外科学杂志

ABSTRACT

Objective To evaluate the clinical characteristics and imaging features of splenic and bone marrow metastasis from breast cancer.Methods Clinical data of one case of splenic and bone marrow metastasis from breast cancer collected from Renmin Hospital of Wuhan University on February 23,2019 were analyzed and literatures were reviewed.Results Patient admitted to hospital with pain in the left upper abdomen,accompanied with anemia and thrombocytopenia.CT suggested spleen occupying lesions.ECT implied bone metastasis.Bone marrow biopsy indicated breast cancer metastasis.Breast biopsy showed breast cancer.After using letrozole,the lesion of left breast and thevolume of spleen was reduced.The range of the spleen was lower than before.This review showed that the lesion of left breast and the low-density lesion in spleen was reduced.Bone marrow biopsy showed extremely low myeloproliferation.Conclusions Splenic and bone marrow metastasis from breast cancer are rare.Imaging examination and bone marrow biopsy are important diagnostic methods for spleen metastases.Detailed case data,targeted examinations,and comprehensive analysis are important for reducing misdiagnosis.