A CASE OF FIBROMA OF THE SPLEEN WITH AN ADVANCED GASTRIC CANCER

Autor:	Shinichi Mizuno, Yasuo Takahashi, Hideki Shimoji, Eiichi Asano, Norimasa Koide, Syouji Hoshi
Rok vydání:	1999
Předmět:	Pathology medicine.medical_specialty medicine.diagnostic_test business.industry medicine.medical_treatment Stomach Splenectomy Cancer medicine.disease Splenic tumor medicine.anatomical_structure Abdominal ultrasonography medicine Adenocarcinoma Gastrectomy Fibroma business
Zdroj:	Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association). 60:790-794
ISSN:	1882-5133 1345-2843
DOI:	10.3919/jjsa.60.790
Popis:	Primary benign tumors of the spleen are rare. We report a case of splenic fibroma with an advanced gastric cancer which was indistinguishable from splenic metastasis. A 38-year-old woman was admitted to the hospital because of epigastric pain. UGI and GIF revealed an advanced cancer located from the upper body of stomach to the pylorus. Abdominal ultrasonography showed splenomegaly and abdominal CT showed a well-marginated low density mass in the spleen without contrast enhancement. Total gastrectomy with distal pancreatectomy, splenectomy and cholecystectomy was performed under a diagnosis of gastric cancer and splenic metastasis. The histological examination of the gastric lesion revealed poorly differentiated adenocarcinoma and the splenic tumor was fibroma. In a review of the Japanese literature, splenic metastasis of gastric cancer is characterized by internally heterogenous low density area on abdominal CT. This case which revealed a low density tumor with homogenous inner part must be suspected of primary splenic tumor as well.
Databáze:	OpenAIRE
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