Intrahepatic Splenosis Mimicking Liver Metastasis in a Patient with Gastric Cancer
Journal of Gastric Cancer
; : 64-68, 2011.
Article
de En
| WPRIM
| ID: wpr-103354
Bibliothèque responsable:
WPRO
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.
Mots clés
Texte intégral:
1
Indice:
WPRIM
Sujet Principal:
Splénectomie
/
Estomac
/
Tumeurs de l'estomac
/
Imagerie par résonance magnétique
/
Mastectomie partielle
/
Accidents de la route
/
Splénose
/
Cytoponction
/
Gastrectomie
/
Foie
Limites du sujet:
Humans
langue:
En
Texte intégral:
Journal of Gastric Cancer
Année:
2011
Type:
Article