# Splenic Metastasis of Endometrial Carcinoma Manifesting as a Hemorrhagic Splenic Cyst 17 Years After Surgery

## TL;DR

A woman developed a rare splenic metastasis from endometrial cancer 17 years after surgery, emphasizing the need for long-term monitoring.

## Contribution

This case report highlights the unusual long latency of splenic metastasis from endometrial carcinoma.

## Key findings

- A splenic metastasis from endometrial carcinoma was detected 17 years after initial surgery.
- Laparoscopic splenectomy achieved R0 resection but was followed by liver metastases.
- The case underscores the importance of long-term follow-up for cancer recurrence.

## Abstract

Splenic metastases from solid tumors are rare, particularly when they occur after a long postsurgical interval. We report the case of a 69‐year‐old woman who developed a splenic metastasis from endometrial carcinoma, presenting as a hemorrhagic splenic cyst, 17 years after her initial surgery. Laparoscopic splenectomy achieving R0 resection was successfully performed; however, the patient subsequently developed multiple liver metastases. This case highlights the importance of periodic evaluation for recurrence, including monitoring for symptoms and elevated tumor markers, in patients with a history of endometrial carcinoma or other solid tumors.