Isolated Spleen Metastasis from Lung Adenocarcinoma: A Case Report

ABSTRACT

Solitarysplenicmetastasis is extremelyrarewithfewreportedcases in literature. Currentstudyreportsthecase of a 74-year-old, femalepatientwhowasdiagnosedisolatedspleenmetastasisafterlungadenocarcinoma, in thepostoperativecourse. Shepresentedwiththeincidentaldetection of nodularliverandcentralspleniclesions in a follow-upabdominalcomputedtomography (CT) scanafter 5 yearsfromtheleftlowerlobectomyduetolungadenocarcinoma. By MRI examination, lesion in theliverwascharacterized as cysticandthecentralspleniclesionwasfoundhavinga heterogeneoushypoechoicnodularcharacter. Tru-cutbiopsy of spleenconfirmedmetastasis of lungadenocarcinoma. Thepatientunderwentsplenectomy. Althoughliverbiopsycouldn’tdetectanymalignanttissue, lungcanceradenocarcinomametastasiswasdiagnosed in splenectomymaterial. Herein, we report a case of incidentallyfoundsolitarysplenicmetastasis, 5 yearsafterleftlobectomyforlungadenocarcinoma.