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HPB Surgery
Volume 2011 (2011), Article ID 346507, 4 pages
http://dx.doi.org/10.1155/2011/346507
Case Report

Laparoscopic Management for Carcinoid Metastasis to the Spleen

1Department of Surgery and Cancer, Imperial College London, St. Mary's Hospital, London W21NY, UK
2Department of Endocrine Surgery, Hammersmith Hospital, London W120NN, UK

Received 24 November 2010; Revised 31 January 2011; Accepted 12 February 2011

Academic Editor: Olivier Farges

Copyright © 2011 Damian Balmforth et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

We report a rare case of a laparoscopic splenectomy performed for a carcinoid metastasis. The patient represented with pleuritic left-sided chest pain from pleural deposits 9 years following resection of a primary lung carcinoid tumour. They were found to have a 4.7 cm splenic lesion on CT with a probable left acetabular metastasis demonstrated on Gallium PET scan. The patient underwent laparoscopic splenectomy for debulking treatment of the splenic lesion that was confirmed to be a splenic metastasis of the resected carcinoid lung tumour. Following an uncomplicated recovery, the patient was discharged on the second postoperative day. On discharge, she received adjuvant therapy with Lutetium 177 DOTATATE. This is the first report of a carcinoid splenic metastasis successfully treated with laparoscopic splenectomy.