CASE REPORT   

Chirurgia 2021 February;34(1):58-60

DOI: 10.23736/S0394-9508.20.05109-8

Copyright © 2020 EDIZIONI MINERVA MEDICA

language: English

Multiple metastases from colorectal cancer isolated to the spleen: a rare entity

Eli KAKIASHVILI ^{1, 2} ✉, Ibrahim A. SHAKRA ¹, Nour KARRA ¹, Fahed MEREI ¹, Amitai BICKEL ^{1, 2}, Samer GANAM ¹, Safi KHURI ³, Maxim BEZ ^{1, 4}

¹ Department of Surgery A, Galilee Medical Center, Nahariya, Israel; ² Faculty of Medicine, Bar Ilan University, Safed, Israel; ³ Department of General Surgery, Rambam Medical Center, Haifa, Israel; ⁴ Medical Corps, Israel Defense Forces, Ramat Gan, Israel

Isolated solitary splenic metastasis from colorectal cancer origin is considered a rare entity due to its unique anatomical and histological structure. Few cases have been reported in the literature and in most of them, the spleen was affected by an isolated single metastasis. We report a case of metachronous isolated multiple splenic metastases from adenocarcinoma of the colon, two years after the diagnosis and surgery of the primary tumor, localized in the sigmoid colon. Following splenectomy, the patient chose not to undergo systemic chemotherapy. Seven years after splenectomy the patient is still free from disease. Multiple splenic metastases from colorectal origin is an extremely rare condition. Further research will hopefully be able to form stronger evidence regarding management of this entity.

KEY WORDS: Colon; Adenocarcinoma; Neoplasm metastasis; Splenectomy; Spleen