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CC BY-NC-ND 4.0 · Indian J Med Paediatr Oncol 2019; 40(S 01): S163-S165
DOI: 10.4103/ijmpo.ijmpo_242_17
Case Report

Isolated Splenic Recurrence of Treated Jejunal Cancer: A Case Report with Brief Review of Literature

Chaturbhuj Ramanand Agrawal
Rajiv Gandhi Cancer Institute and Research Centre, New Delhi, India
,
Manish Sharma
Department of Medical Oncology, Rajiv Gandhi Cancer Institute and Research Centre, New Delhi, India
,
Vineet Talwar
Rajiv Gandhi Cancer Institute and Research Centre, New Delhi, India
,
Varun Goel
Rajiv Gandhi Cancer Institute and Research Centre, New Delhi, India
,
Ajit Pratap Singh
Department of Pathology, Rajiv Gandhi Cancer Institute and Research Centre, New Delhi, India
› Author Affiliations Financial support and sponsorship Nil.
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Abstract

Spleen is a very infrequent site of metastasis despite the fact that it is the most vascular organ in the body. Even if systemic metastasis occurs, splenic metastasis largely remained asymptomatic due to its large functional reserve, and most often, the metastasis is detected incidentally on follow-up scan. Many cases of asymptomatic splenic metastasis detected on follow-up scans are reported in literature from different primary sites. Herein, we report a similar case of a 33-year-old male who presented with isolated splenic recurrence after a long treatment-free interval following curative treatment of adenocarcinoma jejunum. As stated, there are few previous reports of isolated splenic metastasis from carcinoma colon, but considering small intestinal adenocarcinoma, this is the first unique case reported to the best of our knowledge. Due to rarity of clinical scenario and lack of established guidelines, the treatment of such cases varies from patient to patient, and the knowledge, whatever we owe, is on the basis of case reports only.

Keywords

Adenocarcinoma jejunum - isolated splenic metastasis - splenectomy


Publication History

Article published online:
24 May 2021

© 2019. Indian Society of Medical and Paediatric Oncology. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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