第11巻 2015年2月　第1号

■症例報告

腹腔鏡下脾臓摘出術を施行した卵巣癌術後孤立性脾転移の1例
浅見　敬一¹, 吉田　寛¹, 平方　敦史¹, 牧野　浩司¹, 中井　章人², 内田　英二^3
1日本医科大学多摩永山病院外科
²日本医科大学多摩永山病院産婦人科
³日本医科大学消化器外科

Solitary Splenic Metastasis from Ovarian Cancer Managed by Laparoscopic Splenectomy
Keiichi Asami¹, Hiroshi Yoshida¹, Atsushi Hirakata¹, Hiroshi Makino¹, Akihito Nakai² and Eiji Uchida^3
1)Department of Surgery, Nippon Medical School Tama Nagayama Hospital
²⁾Department of Gynecology, Nippon Medical School Tama Nagayama Hospital
³⁾Department of Gastrointestinal Surgery, Nippon Medical School

A 67-year old woman underwent bilateral oophorectomy for the treatment of ovarian cancer (serous adenocarcinoma, pT3cN0M0 Stage IIIc) in 2012, and postoperative chemotherapy was started. Ten months after operation, the serum level of CA125 was elevated (57.6 U/mL). Eighteen months after operation, an abdominal CT scan showed a mass in the spleen, 15 mm in diameter. Twenty three months after operation, splenic mass had increased to 24 mm in diameter. We diagnosed solitary splenic metastasis from ovarian cancer, and performed laparoscopic splenectomy. The pathological diagnosis of the splenic tumor was serous adenocarcinoma compatible with metastasis from ovarian cancer. She was discharged on 5^th postoperative days and underwent another adjuvant chemotherapy. Since solitary splenic metastasis from ovarian cancer is rare. The laparoscopic splenectomy is a safe and effective for the management of splenic tumors.

日医大医会誌 2015; 11(1), 25-28

Key words
ovarian cancer, splenic metastasis, laparoscopic splenectomy

Correspondence to
Hiroshi Yoshida, Department of Surgery, Nippon Medical School Tama Nagayama Hospital, 1-7-1 Nagayama, Tama Tokyo 206-8512, Japan
E-mail：hiroshiy@nms.ac.jp

受付：2014年9月5日　受理：2014年10月15日