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  • Title: Isolated splenic metastasis from gastric carcinoma: value of CEA and CA 19-9 in early diagnosis: report of two cases.
    Author: Opocher E, Santambrogio R, Bianchi P, Cioffi U, De Simone M, Vellini S, Montorsi M.
    Journal: Am J Clin Oncol; 2000 Dec; 23(6):579-80. PubMed ID: 11202800.
    Abstract:
    We report two cases of an isolated splenic metastasis, occurring 5 and 3 years, respectively, after gastrectomy for gastric carcinoma. Serum carcinoembryonic antigen and CA 19-9 levels were evaluated preoperatively, postoperatively, and during the oncologic follow-up. The patients underwent splenectomy for solitary splenic metastasis. We conclude that the use of serum carcinoembryonic and CA 19-9 values may help in the early diagnosis of these recurrences and splenectomy allows radical treatment in patients with no evidence of disseminated disease.
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