Open Access

Small early gastric cancer with synchronous bone metastasis: A case report

  • Authors:
    • Isao Fujita
    • Tatsuya Toyokawa
    • Takafumi Makino
    • Katsunori Matsueda
    • Shizuma Omote
    • Joichiro Horii
  • View Affiliations

  • Published online on: January 22, 2020     https://doi.org/10.3892/mco.2020.1985
  • Pages: 202-207
  • Copyright: © Fujita et al. This is an open access article distributed under the terms of Creative Commons Attribution License.

Metrics: Total Views: 0 (Spandidos Publications: | PMC Statistics: )
Total PDF Downloads: 0 (Spandidos Publications: | PMC Statistics: )


Abstract

Bone metastasis during the early stages of gastric cancer is rare, and synchronous bone metastasis is even less common. The present report outlines a case of a small early gastric cancer, which was detected due to bone metastasis. A 63‑year‑old man was referred to Fukuyama Medical Center with back pain and anorexia of 2 weeks' evolution. MRI revealed multiple metastatic lesions in the thoracic and spinal bone. Fluorodeoxyglucose positron emission tomography revealed focal uptake in the lesser curvature of the stomach and in the spinal bone, pelvic and thigh bone, but uptake was not detected in the stomach. Esophagogastroduodenoscopy revealed a 10 mm slightly elevated lesion with a central depression in the middle‑third of the stomach. Endoscopic ultrasonography confirmed that the tumor was confined to the mucosa. A biopsy specimen acquired from the gastric lesion indicated signet‑ring cell carcinoma, and the specimen acquired from the lumbar spine revealed cell aggregation such as that found in signet‑ring cell carcinoma. The patient received first‑line chemotherapy with S‑1 and cisplatin, and second‑line chemotherapy with nab‑paclitaxel. However, the patient died 120 days after consultation at Fukuyama Medical Center.
View Figures
View References

Related Articles

Journal Cover

March 2020
Volume 12 Issue 3

Print ISSN: 2049-9450
Online ISSN:2049-9469

Sign up for eToc alerts

Recommend to Library

Copy and paste a formatted citation
x
APA
Fujita, I., Toyokawa, T., Makino, T., Matsueda, K., Omote, S., & Horii, J. (2020). Small early gastric cancer with synchronous bone metastasis: A case report. Molecular and Clinical Oncology, 12, 202-207. https://doi.org/10.3892/mco.2020.1985
MLA
Fujita, I., Toyokawa, T., Makino, T., Matsueda, K., Omote, S., Horii, J."Small early gastric cancer with synchronous bone metastasis: A case report". Molecular and Clinical Oncology 12.3 (2020): 202-207.
Chicago
Fujita, I., Toyokawa, T., Makino, T., Matsueda, K., Omote, S., Horii, J."Small early gastric cancer with synchronous bone metastasis: A case report". Molecular and Clinical Oncology 12, no. 3 (2020): 202-207. https://doi.org/10.3892/mco.2020.1985