Computed tomography (CT) of the abdomen and pelvis. CT scanning immediately before initial pelvic tumor debulking at 46 months after presentation shows A). Large splenic metastasis (100.3 mm), B). Metastasis to the left iliac vein lymph nodes (41.3 mm), and C). A slightly lower view of the splenic metastasis showing the 2 liver lesions. D). CT of the abdomen, post-splenectomy and pelvic tumor debulking, and pre-liver resection (2 liver metastases 20 mm and 15 mm in segments V and VI) at 51 months.