Metástasis vertebrales como forma de presentación de un adenocarcinoma gástrico
Abstract: Bone metastasis in gastric cancer is uncommon and usually emerges as a recurrence of cancer and in a later stage of the disease. Therefore, spine metastasis as an initial presentation of gastric adenocarcinoma is a rare event. We present the case of an 82-year-old woman, with a history of...
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| Main Authors: | , , , |
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| Format: | Book |
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Sociedade Galega de Medicina Interna,
2021-07-01T00:00:00Z.
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| Summary: | Abstract: Bone metastasis in gastric cancer is uncommon and usually emerges as a recurrence of cancer and in a later stage of the disease. Therefore, spine metastasis as an initial presentation of gastric adenocarcinoma is a rare event. We present the case of an 82-year-old woman, with a history of prolonged lumbar pain and no gastrointestinal symptoms. A lumbar computed tomography scan identified multiple osteolytic lesions and upon additional investigation we found a Gastric Adenocarcinoma as the primary tumor. She initiated palliative radiotherapy and best supportive care. Resumen: Las metástasis óseas en el cáncer gástrico son poco frecuentes y normalmente se detectan como recurrencia de un tumor o en estadios avanzados de la enfermedad. Por ello, esta forma de presentación en un adenocarcinoma gástrico es infrecuente. Presentamos el caso de una paciente de 82 años con historia de dolor lumbar de larga evolución y ausencia de síntomas gastro-intestinales. Una tomografía lumbar identificó múltiples lesiones osteolíticas y tras estudios complementarios se encontró un adenocarcinoma gástrico como tumor primario. Se inició tratamiento paliativo con radioterapia y de soporte. |
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| Item Description: | 0304-4866 1989-3922 10.22546/61/2266 |