RESUMO
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.
Assuntos
Adenocarcinoma/secundário , Neoplasias Colorretais/patologia , Neoplasias Esplênicas/diagnóstico por imagem , Neoplasias Esplênicas/secundário , Adenocarcinoma/terapia , Protocolos de Quimioterapia Combinada Antineoplásica , Antígeno Carcinoembrionário/sangue , Neoplasias Colorretais/terapia , Feminino , Fluordesoxiglucose F18 , Humanos , Neoplasias Hepáticas/secundário , Neoplasias Hepáticas/terapia , Pessoa de Meia-Idade , Tomografia por Emissão de Pósitrons , Esplenectomia , Neoplasias Esplênicas/sangueRESUMO
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)
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Assuntos
Humanos , Feminino , Pessoa de Meia-Idade , Adenocarcinoma/secundário , Neoplasias Esplênicas/secundário , Neoplasias Esplênicas , Tomografia por Emissão de Pósitrons/métodos , Protocolos de Quimioterapia Combinada Antineoplásica , Adenocarcinoma/terapia , Neoplasias Esplênicas/sangue , Esplenectomia/métodos , Esplenectomia , Fluordesoxiglucose F18 , Antígeno Carcinoembrionário/análise , Antígeno Carcinoembrionário/sangueRESUMO
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.
