“…In this study, we analyzed 39 previously published cases (22 males, 17 females; age range, 33 to 84 years; mean, 64 years) of isolated splenic metastasis derived from CRC (Table 1). [5,8,10,14,[18][19][20][21][22][23][24][25][26][27][28][29][30][31][32][34][35][36][37][38][39][40][41][42][43][44][45][46] Among them, 35 cases were metachronous metastasis and only 4 cases were synchronous metastasis. Interestingly, in terms of splenic lesions, there were only 4 cases of multiple metachronous splenic metastases, and most cases [34] were solitary.…”