Fine‐needle aspiration of spleen: Diagnosis of a solitary ovarian metastasis

Nosanchuk, Jerome S.; Tyler, W. S.; Terepka, Raymond H.

doi:10.1002/dc.2840040218

Cited by 14 publications

(7 citation statements)

References 3 publications

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“…Based on our evaluation, only 22 cases fulfi lled the criteria of "recurrence," "solitary," and "parenchymal." [5][6][7][8][9][10][11][12][13][14][15][16][17][18] and these are summarized in Table 1. Most of the patients had stage III disease (FIGO classifi cation) and all underwent optimal tumor debulking, defi ned as the diameter of the largest residual tumor nodule measuring <2 cm at the end of the surgical procedure.…”

Section: Discussionmentioning

confidence: 99%

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Solitary splenic metastasis of ovarian carcinoma: Report of two cases

et al. 2008

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Capsular splenic metastasis from ovarian cancer, which is associated with peritoneal spread, is not uncommon. Conversely, solitary involvement of the splenic parenchymal is unusual, and secondary debulking may improve the prognosis if there is no sign of residual disease. Thus, splenectomy is indicated for this type of isolated splenic metastasis. We report two cases of successful splenectomy for solitary splenic metastasis of ovarian carcinoma and review the relevant literature.

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Section: Discussionmentioning

confidence: 99%

“…To our knowledge, only 22 cases of isolated parenchymal splenic recurrence have been reported. [5][6][7][8][9][10][11][12][13][14][15][16][17][18] We report two further cases of splenic metastasis as the fi rst site of recurrence of ovarian cancer and review the literature on this subject.…”

Section: Introductionmentioning

confidence: 99%

Solitary splenic metastasis of ovarian carcinoma: Report of two cases

et al. 2008

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“…In most of the case reports the patients presented with nonspecific symptoms, and in 2 cases the symptoms were suggestive of lymphoma [7,9]. In cases where the diagnosis is in question, CT-guidcd fine-needle aspiration has been successfully utilized for preoperative diagnosis [12], This can be particularly use ful when lymphoma is high in the differential diagnosis.…”

Section: Discussionmentioning

confidence: 99%

“…There have been few case reports in the literature describing solitary carcinomatous metastases to the spleen. We have found a total of 13 cases described, 8 of which were gynecologic malignancies [6][7][8][9][10][11][12]. The other tumors included breast, lung and melano ma [10,13,14],…”

Section: Discussionmentioning

confidence: 99%

Solitary Splenic Metastasis of an Adenocarcinoma of the Ovaries

Max

Stastny²,

Frable³

1996

Gynecol Obstet Invest

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“…A final diagnosis could, thus, only be obtained through postoperative pathological investigation. Some authors reported that a fine-needle aspiration biopsy was a safe and valuable diagnostic tool for evaluating splenic lesions in oncologic patients [16, 17, 18, 19, 20, 21, 22]. However, the biopsy of the spleen is rarely attempted because of the possibility of hemorrhage, the fear of spillage of tumor cells, and the preconceived notion that the biopsy will not be of diagnostic help.…”

Section: Discussionmentioning

confidence: 99%

Hand-Assisted Laparoscopic Splenectomy for Splenic Tumors

Yano¹,

Nakano²,

Tono³

et al. 2004

Dig Surg

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Background: The feasibility of hand-assisted laparoscopic splenectomy (HALS) for splenic tumors including benign or malignant neoplasms and the associated clinical outcome of the patients remain unclear. Methods: A total of 10 patients with splenic tumors undergoing HALS were retrospectively analyzed in this study. The intraoperative course, postoperative course, and postoperative recovery were evaluated. Results: Ten patients with splenic tumors consisted of 5 with benign tumors and 5 with malignant tumors. HALS was not converted to an open splenectomy in any of the patients. Mean operative time was 170 min (range 100–310 min). Mean estimated blood loss was 105 g (range 10–900 g). Mean splenic size and splenic weight was 13 cm and 478 g, respectively. Splenomegaly based on size or weight occurred in 50% of the patients. There were no intra- or postoperative complications. Postoperative chemotherapy was given to 4 patients with malignant tumors including metastatic carcinomas and malignant lymphomas. All the patients were alive at a mean follow-up of 26 months, ranging from 15 to 43 months after surgery. There was no port-site recurrence after surgery in our study. Mean time to first flatus, mean time to first walking, mean time to resumption of oral intake, mean length of hospital stay, and mean duration of epidural analgesia were 1.8, 1, 1.5, 10.8 and 3.1 days, respectively. The results were equal in terms of intra- and postoperative course to those seen with a standard laparoscopic splenectomy for 13 patients with idiopathic thrombocytopenic purpura. Conclusion: HALS may be a good indication for malignant tumors as well as benign tumors of the spleen.

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Fine‐needle aspiration of spleen: Diagnosis of a solitary ovarian metastasis

Cited by 14 publications

References 3 publications

Solitary splenic metastasis of ovarian carcinoma: Report of two cases

Solitary splenic metastasis of ovarian carcinoma: Report of two cases

Solitary Splenic Metastasis of an Adenocarcinoma of the Ovaries

Hand-Assisted Laparoscopic Splenectomy for Splenic Tumors

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