Case Report

Solitary splenic metastasis of squamous lung cancer: a case report

Diamantis Chloros¹ , Grigorios Bitzikas² , Marianna Kakoura¹ , Georgios Chatzikostas² , Charlie Makridis³ and Ioannis Tsitouridis⁴

¹  Lung Unit, Papageorgiou Hospital, Ring Road N Efkarpia, Thessaloniki 56403, Greece

²  Department of Thoracic and Cardiovascular Surgery, Papageorgiou Hospital, Ring Road N Efkarpia, Thessaloniki 56403, Greece

³  1st Clinic of General Surgery, Papageorgiou Hospital, Ring Road N Efkarpia, Thessaloniki 56403, Greece

⁴  Department of Radiology, Papageorgiou Hospital, Ring Road N Efkarpia, Thessaloniki 56403, Greece

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Cases Journal 2009, 2:9091doi:10.1186/1757-1626-2-9091

Published:	25 November 2009

Abstract

Background

Lung cancer is the second commonest malignant tumour, with its splenic metastasis being a rare event.

Case Presentation

We report an exceedingly rare case of a moderate-to-low differentiation squamous cell lung carcinoma in a middle-aged man with a large solitary splenic metastasis detected simultaneously with the primary tumour. Surgical removal of both the primary tumour and the solitary splenic metastasis offered the patient the best treatment option.

Conclusion

The significance of the present case lies on the one hand in the appearance of a large solitary splenic metastasis from a squamous lung cancer at the time of its initial presentation and on the other in the successful excision of both lesions simultaneously.