Abstract

This paper reports two patients who had a splenectomy for solitary splenic metastasis of colonic cancer. Patient 1, a 56-year-old woman, underwent a right hemicolectomy and a cholecystectomyfor gallstones and a cecal cancer (moderately differentiated adenocarcinoma. P0, H0, se, n2, 1y3, v, stage IIIb) on August 12, 1992. Eightmonths late a Splenectomy was performed for a solitary metastasis to the spleen. She died of carcinomatous peritonitis 13 months after the splenectomy. Patient 2 was a 51-year-old woman. She underwent a sigmoidectomy for a cancer of the sigmoid colon (moderately differentiated adenocarcinoma. P0. H0, sm, n0, ly0, v0 stage I) in October 1993. Three years and 8 months after the sigmodectomy a splenectomy was performed. She subsequently developed multiple interperitoneal metastases, and is being followed as an outpatient. Both of these patients who underwent splenectomy for solitary metastasis to the spleen subsequently developed metastases to the multiple organs. It is thought that the prognosis after splenectomy can not be favorable in such patients.

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