Metastasis of nasopharyngeal carcinoma to the spleen: a case report

Although rare, splenic metastasis should be considered in NPC patients presenting with new abdominal symptoms or suspicious imaging findings during surveillance. Early detection through advanced imaging modalities such as PET/CT, MRI, and ultrasonography can facilitate timely intervention. Splenectomy remains a reasonable option in selected cases, offering diagnostic certainty, symptom relief, and prevention of potential complications such as splenic rupture or local invasion.