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Cirugía paraguaya

On-line version ISSN 2307-0420


FERREIRA, Miguel et al. Splenic metástasis from adenocarcinoma of the ovary. About a case. Cir. parag. [online]. 2020, vol.44, n.2, pp.32-33. ISSN 2307-0420.

Ovarian cancer spleen metastases are uncommon. The case of a 62-year-old patient is presented, consultation for stitch-like abdominal pain in the left hypochondrium, the same operation as an annex total hysterectomy 1 year ago with definitive histopathological report of moderate to poorly differentiated infiltrating adenocarcinoma grade II to III of right ovary. Ultrasound: enlarged spleen with nodular image inside; CT scan: enlargement of the spleen at the expense of parenchymal lesion. Videolaparoscopic splenectomy is performed. Pathological anatomy: poorly differentiated epithelioid tumors. Conclusion: in the treatment of spleen metastases, as the only site of metastases, laparoscopic surgery is indicated to avoid complications.

Keywords : ovarian adenocarcinoma; splenic metastasis; splenectomy.

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