Splenic Metastasis - Rare Entity

Spleen is rarely the site of secondary tumors. Macroscopically evident secondary tumors are seen in the spleen, in some 4 % to 8 % of necropsies in cases of cancer. With few published case reports, we report a case of 28 years, female with splenic metastasis and illustrate it with Ultrasound (U/S), CT and pathology images. Ultrasound abdomen On examination Carcinoma of Ovary was suspected with a complex cystic lesion in the spleen, CT spleen showed hypodense lesion with specks of calcifications and fine septations. Gross Spleen- showed mild enlargement. Cut section- multiple grey white to grey brown cysts. Microscopy Spleen- keratinized stratified squamous epithelium, dermal adnexae, mature neural elements, glial tissue, mucin secreting columnar epithelium with glandular structures, islands of cartilage and adipose tissue. In the view of previous history of immature teratoma of ovary, to consider it as splenic metastasis from teratoma is obtained.