Case Report
Copyright ©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Aug 6, 2020; 8(15): 3320-3328
Published online Aug 6, 2020. doi: 10.12998/wjcc.v8.i15.3320
Isolated metachronous splenic multiple metastases after colon cancer surgery: A case report and literature review
Li Hu, Ji-Yun Zhu, Lei Fang, Xiu-Chong Yu, Zhi-Long Yan
Li Hu, Ji-Yun Zhu, Lei Fang, Xiu-Chong Yu, Zhi-Long Yan, Department of Gastrointestinal Surgery, Ningbo First Hospital, Ningbo 315000, Zhejiang Province, China
Author contributions: Hu L and Yan ZL designed the manuscript and performed the surgery; Zhu JY reviewed the literature and contributed to drafting the manuscript; Fang L performed the radiology analyses; Yu XC performed the pathology analyses; Hu L wrote the manuscript; all authors have read and approved the final manuscript.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Zhi-Long Yan, MD, Chief Doctor, Department of Gastrointestinal Surgery, Ningbo First Hospital, No. 59 Liuting Road, Ningbo 315000, Zhejiang Province, China. yanzhilong@nbu.edu.cn
Received: April 3, 2020
Peer-review started: April 3, 2020
First decision: May 15, 2020
Revised: May 27, 2020
Accepted: July 15, 2020
Article in press: July 15, 2020
Published online: August 6, 2020
Processing time: 125 Days and 6.4 Hours
Core Tip

Core tip: Isolated splenic metastasis is a rare clinical entity. We report a case of 48-year-old woman with isolated splenic metastasis 21 mo after radical colon adenocarcinoma resection. Close monitoring of serum carcinoembryonic antigen levels is crucial after colon adenocarcinoma surgery. Splenectomy seems to be the preferred treatment and multiple disciplinary team plays an important role in the entire process of disease management.