ABSTRACT
A 52-year-old woman with a rising carcinoembryonic antigen CEA, no clinical or radiological findings, a negative colonoscopy, and a positron emission tomography (PET) scan that revealed an isolated hypermetabolic lesion in the spleen. The patient underwent splenectomy by laparoscopic surgery. The pathological study confirmed the presence of an isolated metastasis to the spleen. This case reveals the rare occurrence of isolated splenic metastases in the context of colorectal cancer and illustrates the role of PET when a patient shows a rising CEA with negative clinicoradiological studies.
Subject(s)
Adenocarcinoma/secondary , Colorectal Neoplasms/pathology , Splenic Neoplasms/diagnostic imaging , Splenic Neoplasms/secondary , Adenocarcinoma/therapy , Antineoplastic Combined Chemotherapy Protocols , Carcinoembryonic Antigen/blood , Colorectal Neoplasms/therapy , Female , Fluorodeoxyglucose F18 , Humans , Liver Neoplasms/secondary , Liver Neoplasms/therapy , Middle Aged , Positron-Emission Tomography , Splenectomy , Splenic Neoplasms/bloodABSTRACT
A 52-year-old woman with a rising carcinoembryonic antigen CEA, no clinical or radiological findings, a negative colonoscopy, and a positron emission tomography (PET) scan that revealed an isolated hypermetabolic lesion in the spleen. The patient underwent splenectomy by laparoscopic surgery. The pathological study confirmed the presence of an isolated metastasis to the spleen. This case reveals the rare occurrence of isolated splenic metastases in the context of colorectal cancer and illustrates the role of PET when a patient shows a rising CEA with negative clinicoradiological studies (AU)
No disponible
Subject(s)
Humans , Female , Middle Aged , Adenocarcinoma/secondary , Splenic Neoplasms/secondary , Splenic Neoplasms , Positron-Emission Tomography/methods , Antineoplastic Combined Chemotherapy Protocols , Adenocarcinoma/therapy , Splenic Neoplasms/blood , Splenectomy/methods , Splenectomy , Fluorodeoxyglucose F18 , Carcinoembryonic Antigen/analysis , Carcinoembryonic Antigen/bloodABSTRACT
We report a case of retroperitoneal ganglioneuroma that had been incidentally discovered during ultrasound evaluation in a young female patient. The plain X-ray, IVP and ultrasonography only revealed the presence of a retroperitoneal mass and its approximate size. CT and arteriography provided further information relative to the location, nature of the extrarenal mass, its borders, and size although these did not permit us to determine its origin.
