Resection of The Metastatic Spleen-In Case of Esophageal Cancer

We report an extremely rare case of metachronous spleen metastasis with esophageal cancer. A 77-yearold man was underwent a subtotal esophagectomy with regional lymph node dissection (D2);Lt, 1p1+IIb (55×47mm), moderately differentiated squamous cell carcinoma, 1y1, v1, ie (+), M0, pN1, pT3, pStage III. During the postoperative follow up, spleen metastasis was revealed using image diagnostic technique (US, CT and MRI). At 14 months after initial surgery, the splenectomy was performed. Subsequently, multiple skin metastasis appeared and he died at 5 months after splenectomy.