{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,17]],"date-time":"2026-04-17T23:30:19Z","timestamp":1776468619986,"version":"3.51.2"},"reference-count":7,"publisher":"BMJ","issue":"3","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2020,2,8]]},"published-print":{"date-parts":[[2020,3]]},"abstract":"<jats:p>A 73-year-old woman was referred to a tertiary centre with isolated splenic metastasis from previous pT1aNo stage 1a lung adenocarcinoma. The patient underwent a right lower lobe lobectomy and mediastinal lymph node dissection 2 years ago for invasive adenocarcinoma with no adjuvant therapy. An incidental finding of new splenic cyst was noted on surveillance imaging, which was fluorodeoxyglucose positive on positron emission tomography, and confirmed on cytology to be metastatic lung adenocarcinoma. After multi-disciplinary team\u2019s review, the patient underwent splenectomy, with partial excision of diaphragm due to local infiltration. Her postoperative course was eventful, and was complicated by a simple fluid collection in the surgical bed (amylase negative), a left sided pneumonia and atelectasis and left sided pleural effusion, requiring antibiotics and radiological drainage of the abdominal and pleural collection. The patient recovered well and is currently doing well 9 months postoperatively with no evidence of recurrence or metastatic disease.<\/jats:p>","DOI":"10.1136\/bcr-2019-233256","type":"journal-article","created":{"date-parts":[[2020,3,9]],"date-time":"2020-03-09T05:35:17Z","timestamp":1583732117000},"page":"e233256","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":6,"title":["Splenectomy for isolated splenic metastasis from primary lung adenocarcinoma"],"prefix":"10.1136","volume":"13","author":[{"given":"Marc C","family":"Grant-Freemantle","sequence":"first","affiliation":[{"name":"Department of General and Vascular Surgery, Tallaght Hospital, Dublin, Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gary A","family":"Bass","sequence":"additional","affiliation":[{"name":"Department of General and Vascular Surgery, Tallaght Hospital, Dublin, Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Waqas T","family":"Butt","sequence":"additional","affiliation":[{"name":"Department of General and Vascular Surgery, Tallaght Hospital, Dublin, Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amy E","family":"Gillis","sequence":"additional","affiliation":[{"name":"Department of General and Vascular Surgery, Tallaght Hospital, Dublin, Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2020,3,8]]},"reference":[{"key":"2025082710421452000_13.3.e233256.1","first-page":"442","article-title":"Secondary carcinoma of the spleen. Its incidence in 544 cases and a review of the literature","volume":"58","author":"Nash","year":"1966","journal-title":"J Natl Med Assoc"},{"key":"2025082710421452000_13.3.e233256.2","doi-asserted-by":"crossref","first-page":"252","DOI":"10.4172\/2161-0681.1000252","article-title":"Isolated splenic metastasis in a patient with lung carcinoma: case report and review of the literature","volume":"05","author":"Cai","year":"2015","journal-title":"J Clin Exp Pathol"},{"key":"2025082710421452000_13.3.e233256.3","first-page":"1239","article-title":"Splenic metastasis of lung cancer","volume":"8","author":"Satoh","year":"2001","journal-title":"Oncol Rep"},{"key":"2025082710421452000_13.3.e233256.4","doi-asserted-by":"publisher","DOI":"10.1016\/0300-2977(95)00011-8"},{"key":"2025082710421452000_13.3.e233256.5","doi-asserted-by":"publisher","DOI":"10.1016\/j.prp.2005.12.008"},{"key":"2025082710421452000_13.3.e233256.6","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2012.08.086"},{"key":"2025082710421452000_13.3.e233256.7","doi-asserted-by":"crossref","first-page":"638","DOI":"10.1159\/000478002","article-title":"Isolated splenic metastasis from non-small-cell lung cancer: a case report and review of the literature","volume":"10","author":"Mitsimponas","year":"2017","journal-title":"Case Rep Oncol"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2019-233256","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T17:42:23Z","timestamp":1756316543000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2019-233256"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,3]]},"references-count":7,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2020,3,8]]},"published-print":{"date-parts":[[2020,3]]}},"alternative-id":["10.1136\/bcr-2019-233256"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2019-233256","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,3]]}}}