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Case Reports
. 2014 Dec;5(6):E100-2.
doi: 10.3978/j.issn.2078-6891.2014.052.

Muscular metastasis from gastric cancer

Laércio Gomes Lourenço  1 , Jorge Roberto Marcante Carlotto  1 , Fernando Augusto Mardiros Herbella  1 , Diego Adão Fanti Silva  1 , Henrique Barroso Setti  1
Affiliations
Case Reports

Muscular metastasis from gastric cancer

Laércio Gomes Lourenço et al. J Gastrointest Oncol. 2014 Dec.

Abstract

The association between gastric cancer and muscle metastasis is extremely rare. Few cases have been reported in the literature. We report a case of a 68-year-old man, with a diagnosis of gastric adenocarcinoma by endoscopy and biopsy. A painful nodule on the right thigh became noticeable during chemotherapy sessions, where positron emission tomography and percutaneous biopsy diagnosed a muscle metastasis of gastric adenocarcinoma. This report demonstrates the importance of further investigation of muscle lesion in patients with gastrointestinal cancer and how we can diagnose and treat these lesions.

Keywords: Stomach; adenocarcinom; neoplasm metastasis.

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Figures

Figure 1
Figure 1
Upper digestive endoscopy disclosing an ulcerated lesion at the cardia and a large hiatal hernia.
Figure 2
Figure 2
Tomography tumor at the proximal stomach (A) (arrow) and multiple enlarged lymph nodes around the esophageal hiatus and the celiac artery (B) (arrow).
Figure 3
Figure 3
Positron emission tomography showing an elevated uptake at the gastric tumor site and right thigh (*).
See this image and copyright information in PMC

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