Synchronous Isolated Distant Metastasis to Spleen from Colon Adenocarcinoma

Colorectal carcinoma is one of the leading causes of death in the elderly. About 20% of patients present with liver metastasis at the time of diagnosis1. The other common metastatic sites of colorectal carcinoma include the lungs, bone and brain2. Splenic metastases from colorectal carcinomas are rare and usually occur in association with other extensive metastasis3. Isolated splenic metastasis from colorectal carcinoma is unusual with only a couple of dozen cases4,5. Although resection of liver metastasis from colorectal carcinoma may benefit some patients1, the role of resection in synchronous isolated splenic metastasis is not well known. We report the case of an old man with synchronous isolated splenic metastasis from colorectal carcinoma treated by left hemicolectomy and splenectomy. Case Report