Laparoscopic splenectomy for splenic rupture secondary to metastatic choriocarcinoma

Aloysius, Tan Ming Ngan; Shelat, Vishal G

doi:10.14701/ahbps.2018.22.1.79

Cited by 7 publications

(3 citation statements)

References 9 publications

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“…Laparoscopic splenectomy, as compared to open, has been shown to improve outcomes including blood loss, length of stay and reduction in wound complications[ 78 ]. It is unlikely that routine use of ICG would be indicated in straightforward cases.…”

Section: Resultsmentioning

confidence: 99%

Indocyanine green dye and its application in gastrointestinal surgery: The future is bright green

Lim,

Mohan,

Balasubramaniam

et al. 2023

World J Gastrointest Surg

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Indocyanine green (ICG) is a water-soluble fluorescent dye that is minimally toxic and widely used in gastrointestinal surgery. ICG facilitates anatomical identification of structures (e.g., ureters), assessment of lymph nodes, biliary mapping, organ perfusion and anastomosis assessment, and aids in determining the adequacy of oncological margins. In addition, ICG can be conjugated to artificially created antibodies for tumour markers, such as carcinoembryonic antigen for colorectal, breast, lung, and gastric cancer, prostate-specific antigen for prostate cancer, and cancer antigen 125 for ovarian cancer. Although ICG has shown promising results, the optimization of patient factors, dye factors, equipment, and the method of assessing fluorescence intensity could further enhance its utility. This review summarizes the clinical application of ICG in gastrointestinal surgery and discusses the emergence of novel dyes such as ZW-800 and VM678 that have demonstrated appropriate pharmacokinetic properties and improved target-to-background ratios in animal studies. With the emergence of robotic technology and the increasing reporting of ICG utility, a comprehensive review of clinical application of ICG in gastrointestinal surgery is timely and this review serves that aim.

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Section: Resultsmentioning

confidence: 99%

Indocyanine green dye and its application in gastrointestinal surgery: The future is bright green

Lim,

Mohan,

Balasubramaniam

et al. 2023

World J Gastrointest Surg

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“…1 Atraumatic rupture caused by splenic metastasis of choriocarcinoma is rare, and only six cases have been reported. 7–12…”

Section: Discussionmentioning

confidence: 99%

Ultra-high-risk choriocarcinoma with atraumatic splenic rupture: a rare case report

Zhang

et al. 2021

J Int Med Res

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Choriocarcinoma is a malignant tumor associated with early vascular invasion and a high mortality. Ultra-high-risk choriocarcinoma, which was proposed in the International Federation of Gynecology and Obstetrics cancer report of 2018, has a higher risk of treatment failure and a worse prognosis than choriocarcinoma. We report a rare case of a 39-year-old female patient with ultra-high-risk choriocarcinoma (stage IV:20) with hemorrhage secondary to atraumatic splenic rupture as the initial sign. A satisfactory outcome was achieved through comprehensive treatment with surgery, chemotherapy, immunotherapy, and targeted therapy.

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“…On immunohistochemical analysis, tumor cells were strongly, diffusely HCG-positive, positive for CK, CK7, inhibin, and PLAP, and > 90% Ki67-positive [ 13 , 14 ], supporting GC diagnosis [ 14 ]. Following splenic GC rupture, emergency surgery or embolization are utilized to stop bleeding [ 7 , 15 , 16 ]. Multi-agent chemotherapy, including etoposide, actinomycin D, methotrexate, folinic acid, and cyclophosphamide, is typical treatment [ 8 ].…”

Section: Discussionmentioning

confidence: 99%

An Extremely Rare Case of Splenic Rupture Secondary to Metastatic Gestational Choriocarcinoma

Luu

Duc

My³

et al. 2021

World J Oncol

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Gestational choriocarcinoma (GC) is an uncommon malignant tumor consisting of trophoblastic cells. The lungs, liver, and central nervous system are the most common metastatic sites for this disease. However, splenic metastasis is unusual and might result in spontaneous rupture. Symptoms associated with splenic rupture may be the first presentation of malignancy. A thorough medical history and examination are necessary to detect the primary lesion. Herein, we present a case of a 23-year-old female who had splenic rupture secondary to choriocarcinoma metastasis. Although the emergency condition had been solved, the patient died 1 month after due to brain metastasis. The goal of this article was to report a new case of spontaneous splenic rupture caused by choriocarcinoma metastasis and to review the existing literature on splenic metastases associated with GC, including the epidemiology and etiology.

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Laparoscopic splenectomy for splenic rupture secondary to metastatic choriocarcinoma

Cited by 7 publications

References 9 publications

Indocyanine green dye and its application in gastrointestinal surgery: The future is bright green

Indocyanine green dye and its application in gastrointestinal surgery: The future is bright green

Ultra-high-risk choriocarcinoma with atraumatic splenic rupture: a rare case report

An Extremely Rare Case of Splenic Rupture Secondary to Metastatic Gestational Choriocarcinoma

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