Non-Small Cell Lung Cancer Stage IV Long-Term Survival With Isolated Spleen Metastasis

• DOI: 10.1016/j.athoracsur.2012.08.086
• Publication Date: 2013-03-20T23:48:26Z
• Authors: Rodrigo A.S. Sard...; Clovis Pinto; Cynthia A. Bueno; Riad N. Younes
• Keywords: Lung Neoplasms; Biopsy; Splenic Neoplasms; Middle Aged; 3. Good health; Diagnosis, Differential; 03 medical and health sciences; 0302 clinical medicine; Carcinoma, Non-Small-Cell Lung; Bronchoscopy; Splenectomy; Humans; Female; Pneumonectomy; Tomography, X-Ray Computed; Follow-Up Studies; Neoplasm Staging

Splenic metastasis is rare and generally associated with disseminated disease, often seen in breast cancer, colorectal and ovarian carcinoma, and melanoma. Isolated metastasis to the spleen is rare, with only 93 cases from all sources having been reported up to 2007. Moreover, isolated splenic metastasis from primary lung cancer is extremely rare, with only 11 cases reported to date. We report a case of isolated splenic metastasis in a woman 8 months after lobectomy for an adenocarcinoma in the right lung completely resected. After 8 years of follow-up, the patient is still alive with no evidence of metastatic recurrence.