Isolated splenic metastasis from gastric carcinoma - Value of CEA and CA 19-9 in early diagnosis: Report of two cases

We report two cases of an isolated splenic metastasis, occurring 5 and 3 ye ars, respectively, after gastrectomy for gastric carcinoma. Serum carcinoem bryonic antigen and CA 19-9 levels were evaluated preoperatively, postopera tively, and during the oncologic follow-up. The patients underwent splenect omy for solitary splenic metastasis. We conclude that the use of serum carc inoembryonic and CA 19-9 values may help in the early diagnosis of these re currences and splenectomy allows radical treatment in patients with no evid ence of disseminated disease.