Journal of Gastric Cancer

The Korean Gastric Cancer Association (대한위암학회)
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Intrahepatic Splenosis Mimicking Liver Metastasis in a Patient with Gastric Cancer

  • Kang, Kyu-Chul (Department of Surgery, Soonchunhyang University College of Medicine) ;
  • Cho, Gyu-Seok (Department of Surgery, Soonchunhyang University College of Medicine) ;
  • Chung, Gui-Ae (Department of Surgery, Soonchunhyang University College of Medicine) ;
  • Kang, Gil-Ho (Department of Surgery, Soonchunhyang University College of Medicine) ;
  • Kim, Yong-Jin (Department of Surgery, Soonchunhyang University College of Medicine) ;
  • Lee, Moon-Soo (Department of Surgery, Soonchunhyang University College of Medicine) ;
  • Kim, Hee-Kyung (Department of Pathology, Soonchunhyang University College of Medicine) ;
  • Park, Seong-Jin (Department of Radiology, Soonchunhyang University College of Medicine)
  • Received : 2010.11.02
  • Accepted : 2011.01.03
  • Published : 2011.03.31
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Abstract

A 54 year old man was referred to our hospital with gastric cancer. The patient had a history of splenectomy and a left nephrectomy as a result of a traffic accident 15 years earlier. The endoscopic findings were advanced gastric cancer at the lower body of the stomach. Abdominal ultrasonography (USG) and magnetic resonance imaging demonstrated a metastatic nodule in the S2 segment of the liver. Eventually, the clinical stage was determined to be cT2cN1cM1 and a radical distal gastrectomy, lateral segmentectomy of the liver were performed. The histopathology findings confirmed the diagnosis of intrahepatic splenosis, omental splenosis. Hepatic splenosis is not rare in patients with a history of splenic trauma or splenectomy. Nevertheless, this is the first report describing a patient with gastric cancer and intrahepatic splenosis that was misinterpreted as a liver metastatic nodule. Intra-operative USG guided fine needle aspiration should be considered to avoid unnecessary liver resections in patients with a suspicious hepatic metastasis.

Keywords

References

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