Oligometastatic colorectal adenocarcinoma to the spleen and ovaries

TL;DR

A rare case of limited colorectal cancer spread to the spleen and ovaries was successfully treated with surgery and chemotherapy.

Contribution

Presents a rare case of oligometastatic colorectal cancer involving the spleen and ovaries with a treatment approach.

Findings

A 78-year-old woman was diagnosed with oligometastatic colorectal cancer to the ovaries and spleen.

Surgical removal of the affected organs and peri-operative chemotherapy were used successfully for treatment.

Abstract

In the context of colorectal cancer, splenic and ovarian metastases are rare outside of widely disseminated disease. Growing evidence suggests that ‘oligometastatic’ or limited metastatic disease can be treated surgically with good oncological outcomes. Splenic and ovarian metastases are not well represented in studies of oligometastatic colorectal cancer, resulting in uncertainty in the best management for these patients. We present the case of a 78-year-old woman diagnosed with oligometastatic colorectal cancer to bilateral ovaries and spleen, 5 years after resection of a primary colon cancer. The patient was treated with a bilateral salpingo-oopherectomy and subsequent open splenectomy. We discuss the role of surgery and peri-operative chemotherapy in the management of oligometastatic colorectal cancer involving atypical sites.

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