Intrahepatic Splenosis Mimicking Liver Metastasis in a Patient with Gastric Cancer
- Authors
- Kang, Kyu Chul; Cho, Gyu Seok; Chung, Gui Ae; Kang, Gil Ho; Kim, Yong Jin; Lee, Moon Soo; Kim, Hee Kyung; Park, Seong Jin
- Issue Date
- Mar-2011
- Publisher
- 대한위암학회
- Keywords
- Stomach neoplasms; Splenosis; Neoplasm metastasis; Liver
- Citation
- Journal of Gastric Cancer, v.11, no.1, pp 64 - 68
- Pages
- 5
- Journal Title
- Journal of Gastric Cancer
- Volume
- 11
- Number
- 1
- Start Page
- 64
- End Page
- 68
- URI
- https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/16696
- DOI
- 10.5230/jgc.2011.11.1.64
- ISSN
- 2093-582X
2093-5641
- Abstract
- A 54 year old man was referred to our hospital with gastric cancer. The patient had a history of splenectomy and a left nephrectomy as a result of a traffic accident 15 years earlier. The endoscopic findings were advanced gastric cancer at the lower body of the stomach. Abdominal ultrasonography (USG) and magnetic resonance imaging demonstrated a metastatic nodule in the S2 segment of the liver. Eventually, the clinical stage was determined to be cT2cN1cM1 and a radical distal gastrectomy, lateral segmentectomy of the liver were performed. The histopathology findings confirmed the diagnosis of intrahepatic splenosis, omental splenosis. Hepatic splenosis is not rare in patients with a history of splenic trauma or splenectomy. Nevertheless, this is the first report describing a patient with gastric cancer and intrahepatic splenosis that was misinterpreted as a liver metastatic nodule. Intra-operative USG guided fine needle aspiration should be considered to avoid unnecessary liver resections in patients with a suspicious hepatic metastasis.
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Collections - College of Medicine > Department of Pathology > 1. Journal Articles
- College of Medicine > Department of General Surgery > 1. Journal Articles
- College of Medicine > Department of General Surgery > 1. Journal Articles
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