Asimptomatične promjene koje oponašaju metasaze slezene u bolesnika s rakom dojke – prikaz slučaja

The spleen is very rarely involved by meatstatic disease in breast cancer patients. These metastases are rarely described in the literature. In this case report the authors report a case of a breast cancer patient having undergone the radical mastectomy for breast cancer one year ago, who was admitted to the hospital for regular follow-up evaluation of the disease with no symptoms. As the findings were suspicious for splenic metastases, explorative laparatomy and splenectomy were performed. The findings showed mimicking splenic metastases with the diagnosis of cavernous hemangioma of the spleen. We discuss the pathological and clinical features, the presentation, assessment and treatment of this case. The patient was in a good postoperative condition and referred for further oncological treatment.U bolesnika s rakom dojke slezena je vrlo rijetko zahvaćena metastatskom bolešću. Te se metastaze u literaturi rijetko opisuju. U ovom prikazu slučaja autori iznose slučaj bolesnice s rakom dojke koja je godinu dana nakon radikalne mastektomije zbog raka dojke bez simptoma primljena u bolnicu radi redovitih pretraga u sklopu praćenja bolesti. Kako su nalazi upućivali na metastaze u slezeni, obavljena je eksplorativna laparotomija i splenektomija. Nalazi su pokazali promjene koje oponašaju metastaze slezene s dijagnozom kavernoznog hemangioma slezene. U radu se raspravlja o patološkim i kliničkim značajkama, predstavljanju, procjeni i liječenju te bolesnice. Stanje bolesnice nakon operacije bilo je dobro i upućena je na daljnje onkološko liječenje