Resection of The Metastatic Spleen-In Case of Esophageal Cancer

Shuzo Hasegawa, Shigemitsu Inada, Tsuyoshi Kotoh, Nariyoshi Takayama, Kazuya Naritomi, Katsunori Seki, Kitarou Futami and Sumitaka Arima

Department of Surgery, Fukuoka University, Chikushi Hospital

We report an extremely rare case of metachronous spleen metastasis with esophageal cancer. A 77-year-old man was underwent a subtotal esophagectomy with regional lymph node dissection (D2); Lt, 1p1+IIb (55×47mm), moderately differentiated squamous cell carcinoma, 1y1, v1, ie (+), M0, pN1, pT3, pStage III.During the postoperative follow up, spleen metastasis was revealed using image diagnostic technique (US, CT and MRI). At 14 months after initial surgery, the splenectomy was performed. Subsequently, multiple skin metastasis appeared and he died at 5 months after splenectomy.

Key words
esophageal cancer, splenic metastasis

Reprint requests
Shuzo Hasegawa Department of Surgery, Fukuoka University, Chikushi Hospital 377-1 Zokumyoin, Chikushino-city, 818-8502 JAPAN

Accepted
July 30, 2001

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