A case report of splenic malignancy originating from the liver - Report - MDSpire

A case report of splenic malignancy originating from the liver

  • By

  • Lei Shen

  • Yechuan Xu

  • Jun Li

  • Zixuan Yang

  • June 4, 2026

  • 0 min

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Clinical Report: A Case Study of Hepatic-Origin Malignancy Metastatic to the Spleen

Overview

Revise to include specific details about the surgical intervention and postoperative outcomes.

Background

Splenic tumors are rare, with metastatic tumors accounting for approximately 2%-4% of all splenic tumors. Metastases from hepatic origins are particularly uncommon, presenting significant diagnostic and management challenges for clinicians. Understanding these rare occurrences is crucial for effective patient care.

Data Highlights

No numerical data or trial data provided in the article.

Key Findings

  • The patient had a history of liver cancer surgery two years prior.
  • Postoperative pathology confirmed recurrent hepatocellular carcinoma with splenic metastasis.
  • The patient underwent left hepatic lateral lobectomy, splenectomy, and cholecystectomy.
  • Preoperative imaging indicated multiple metastases to the spleen.
  • The patient remained stable and asymptomatic at the last follow-up.

Clinical Implications

Clinicians should consider splenic metastasis in patients with a history of liver cancer presenting with splenic masses. Early diagnosis and appropriate surgical intervention may improve patient outcomes.

Conclusion

This case highlights the rarity of hepatic-origin splenic metastasis and underscores the importance of thorough diagnostic evaluation in similar clinical scenarios.

Related Resources & Content

  1. Frontiers | A Case Report of Splenic Malignancy Originating from the Liver
  2. Journal of Gastrointestinal Surgery — Abdominopelvic Splenosis: An Uncommon Etiology of Tenesmus
  3. Journal of Gastrointestinal Surgery — Hepatic Osteosarcoma: A Rare Primary Tumor with Successful Surgical Intervention
  4. Frontiers in Oncology — Case Report: Malignancy-mimicking imaging appearances of hepatic parasitic diseases
  5. Intensive Care Medicine — Uncommon Case of Thoracic Spleen Leading to Acute Gastrointestinal Bleeding from Esophageal Varices
  6. Frontiers | A Case Report of Splenic Malignancy Originating from the Liver
  7. CAR Recommendations for the Management of Incidental Findings of the Spleen and Nodes in Adults
  8. Hepatocellular carcinoma: ESMO Clinical Practice Guideline for diagnosis, treatment and follow-up - PubMed

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