Synchronous Isolated Splenic Metastasis from Colon Cancer

ABSTRACT

Isolated splenic metastases from colon cancer has been rarely reported in English literatures. Furthermore synchronous isolated splenic metastasis is very rare. We report a 63-year-old man with synchronous isolated splenic meta-stasis from colon cancer. He was suspicious to ascending colon cancer with isolated splenic metastasis by colono-fiberoscope, abdominal CT, fusion PET scan and elevated CEA level. He underwent right hemicolectomy and splenectomy. Histologic examinations revealed colonic adeno-carcinoma with splenic metastasis. He was discharged uneventfully and was planned to take chemotherapy. Although it appears to be rare, splenic mass with colon cancer patient should be evaluated to rule out metastasis and splenectomy for isolated splenic metastasis from colon cancer is warranted.