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Table 1 Summary of patients with solitary splenic metastasis from gastric cancer treated by splenectomy

From: A case of long-term survival after splenectomy for solitary splenic metastasis from gastric cancer

    

Gastric cancer

      

Splenic metastasis

  

Prognosis

 

Case

Author

Age

Sex

Location

Size (mm)

TMN

Histology

Procedure

Adjuvant chemo

DFI

Size (mm)

Suggested route

Operation

Follow-up

Outcome

2000

Opocher

76

M

L

Unknown

T2N0M0

Tub

DG

N/A

57 months

80

Hematogenous

Splenectomy

13 months

RFS

  

66

M

Unknown

Unknown

N2N1M0

Por

TG

N/A

36 months

40

Hematogenous

Splenectomy

14 months

RFS

2002

Yamanouchi

69

M

L

Unknown

T3N2N0

Tub

DG

N/A

48 months

45 × 40

Hematogenous?

Splenectomy

40 months

Dead

2009

Sunitsch

80

F

L,R

Unknown

T2N0M0

Tub

TG

N/A

37 months

150

N/A

Splenectomy

N/A

N/A

2010

Lu

59

M

U

70

TXNXM1

Hepatoid AC

TG + S

N/A

Same

40

N/A

Same (synchronous)

18 months

Alive

2010

Kawasaki

76

M

U

20

T1N1M0

Pap

EMR and PG

N/A

12 months

65

Hematogenous?

Chemo+splenectomy

24 months

RFS

2011

Deng

49

M

M

60

T3N2M1

Tub

DG

Performed

60 months

140×100×70

Hematogenous

Splenectomy

9 months

RFS

2013

Kamaleshwaran

55

M

U

Unknown

Unknown

Unknown

PG

N/A

12 months

Unknown

N/A

Splenectomy

N/A

N/A

2013

Zhu

62

M

M,L

90×80

T3N2M0

Por

TG

Performed

12 months

45×35, 30 × 20

N/A

Splenectomy

8 months

RFS

2015

Santos

71

M

Unknown

Unknown

T3N0M0

Unknown

TG

N/A

72 mo

25 × 15 × 10, 15, 10

Hematogenous

Splenectomy

7 months

RFS

2017

Yoshizawa

60

M

M

25 × 22

T1N2M0

Tub, Por

DG

Performed

12 months

20 × 18

Lymphatic

Splenectomy

18 months

RFS

2017

Namikawa

75

M

U

22

T1N0M0

Tub

ESD and TG

N/A

28 months

55 × 45

N/A

Splenectomy

2 months

RFS

2020

Obana

84

M

U

48 × 28

T3N1M0

Tub

TG

N/A

15 months

57 × 51

Lymphatic

Splenectomy

60 months

RFS

  1. DFI Disease-free interval, U The upper third of stomach, M Middle third of stomach, L Lower third of stomach, R Residual stomach, Tub Tubular adenocarcinoma
  2. Por Poorly differentiated adenocarcinoma, Pap Papillary adenocarcinoma, AC Adenocarcinoma, N/A Not available, DG Distal gatrectoy
  3. TG Total gastrectomy, PG Proximal gastrectomy, S Splenectomy, RFS Relapse-free survival, ESD Ensoscopic submucosal dissection
  4. There were 12 case reports of solitary splenic metastasis from gastric cancer before us. In those case reports, splenectomy was performed but follow-up periods were very short after the splenectomy
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World Journal of Surgical Oncology

ISSN: 1477-7819

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