RT Journal Article SR Electronic T1 Splenectomy for isolated splenic metastasis from primary lung adenocarcinoma JF BMJ Case Reports JO BMJ Case Reports FD BMJ Publishing Group Ltd SP e233256 DO 10.1136/bcr-2019-233256 VO 13 IS 3 A1 Marc C Grant-Freemantle A1 Gary A Bass A1 Waqas T Butt A1 Amy E Gillis YR 2020 UL http://casereports.bmj.com/content/13/3/e233256.abstract AB A 73-year-old woman was referred to a tertiary centre with isolated splenic metastasis from previous pT1aNo stage 1a lung adenocarcinoma. The patient underwent a right lower lobe lobectomy and mediastinal lymph node dissection 2 years ago for invasive adenocarcinoma with no adjuvant therapy. An incidental finding of new splenic cyst was noted on surveillance imaging, which was fluorodeoxyglucose positive on positron emission tomography, and confirmed on cytology to be metastatic lung adenocarcinoma. After multi-disciplinary team’s review, the patient underwent splenectomy, with partial excision of diaphragm due to local infiltration. Her postoperative course was eventful, and was complicated by a simple fluid collection in the surgical bed (amylase negative), a left sided pneumonia and atelectasis and left sided pleural effusion, requiring antibiotics and radiological drainage of the abdominal and pleural collection. The patient recovered well and is currently doing well 9 months postoperatively with no evidence of recurrence or metastatic disease.