Laparoscopic Treatment of Isolated Spleen Metastases in Recurrent Ovarian Cancer

Recurrence of epithelial ovarian cancer as widespread metastases throughout the peritoneum is often observed. We report three cases of isolated splenic metastasis as the first site of recurrence of ovarian cancer. Patients were treated with laparoscopic splenectomy followed by six cycles of platinum-based chemotherapy. Currently, they remain alive and have been disease free for at least 24 months since the last operation. We suggest that laparoscopic splenectomy is an effective therapeutic modality for isolated splenic metastasis in ovarian cancer.