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KMID : 0914820110110010064
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Journal of the Korean Gastric Cancer Association
2011 Volume.11 No. 1 p.64 ~ p.68
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Intrahepatic Splenosis Mimicking Liver Metastasis in a Patient with Gastric Cancer
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Kang Kyu-Chul
Cho Gyu-Seok
Jeong Gui-Ae
Kang Gil-Ho
Kim Yong-Jin
Lee Moon-Soo
Kim Hee-Kyung
Park Seong-Jin
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Abstract
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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.
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KEYWORD
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Stomach neoplasms, Splenosis, Neoplasm metastasis, Liver
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