1. Synchronous splenic metastases from squamous cell carcinoma of oesophagus: a case report and review of literature
- Author
-
Avradeep Datta, Divya Khosla, Rakesh Kapoor, Kannan Periasamy, and Debajyoti Chatterjee
- Subjects
Male ,medicine.medical_specialty ,Esophageal Neoplasms ,medicine.medical_treatment ,Splenectomy ,03 medical and health sciences ,0302 clinical medicine ,Surgical oncology ,Internal medicine ,medicine ,Carcinoma ,Humans ,Aged ,business.industry ,Splenic Neoplasms ,Gastroenterology ,General Medicine ,Hepatology ,medicine.disease ,Colorectal surgery ,Radiation therapy ,030220 oncology & carcinogenesis ,Carcinoma, Squamous Cell ,Adenocarcinoma ,030211 gastroenterology & hepatology ,Radiology ,business ,Abdominal surgery - Abstract
Synchronous splenic metastases from oesophageal squamous cell carcinomas are extremely rare. Most of the cases of splenic metastases reported in the literature are mainly metachronous and occur usually from adenocarcinoma primary. The treatment options range from splenectomy to palliative chemotherapy with standard doses in fit individuals. However, in cases with poor performance status, the management is often the best supportive care only due to the fear of tolerance and toxicities with standard dose chemotherapy. Herein, we report a case of squamous cell carcinoma of the distal thoracic oesophagus in a poorly fit elderly male diagnosed with synchronous splenic metastases and successfully treated with palliative chemotherapy with reduced flat doses and radiotherapy with no significant toxicities.
- Published
- 2021