Breast cancer with splenic metastasis in a male patient

Thompson, Bruna M; Pimentel, F.; Diógenes, Jaime Afonso Coelho Nogueira; Kohayagawa, Marcelo Hajime; Vianna, Maria Regina

doi:10.1590/0100-3984.2015.0109

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2019

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“…For the treatment, we selected laparoscopic splenectomy for the definitive diagnosis of the splenic mass because metastasis from the right breast cancer could not be excluded. Splenectomy can be replaced by less-aggressive methods, such as fine-needle aspiration (FNA) or a percutaneous biopsy, to establish the diagnosis of solitary splenic metastasis; FNA has a low complication rate of 0-2% (14, 15). However, we opted for splenectomy due to the risk of possible tumor dissemination in the case of metastasis.…”

Section: Discussionmentioning

confidence: 99%

Sclerosing Angiomatoid Nodular Transformation of the Spleen: Lessons from a Rare Case and Review of the Literature

et al. 2019

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Sclerosing angiomatoid nodular transformation (SANT) of the spleen is an extremely rare benign lesion. We herein report a case of asymptomatic SANT of the spleen in a middle-aged woman with early breast carcinoma and an undiagnosed splenic mass, which was successfully treated by laparoscopic splenectomy and diagnosed postoperatively. We also review the literature on SANT to help make knowledge more accessible when clinicians encounter a splenic tumor. The present case taught us the following lesson: the presence of a splenic lesion during follow-up for malignancy is not always indicative of metastasis. Therefore, SANT should be considered in the differential diagnosis.

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Section: Discussionmentioning

confidence: 99%