Infiltrating gastric adenocarcinoma with disseminated osteoblastic metastases

Authors

  • V.M. dos Santos
  • T.A. Vieira
  • C.S. Marinho
  • T.P. Loures
  • B.B.V. Brandao
  • R.N. Botan

Keywords:

Adenocarcinoma. Bone metastasis. Gastric tumor.

Abstract

We report a 65-year-old man with diagnosis of invasive gastric adenocarcinoma associated with scattered osteoblastic metastases. A 65-year-old patient was admitted with nausea, vomiting and abdominal pain, in addition to loss of weight (13 Kg in 3 months). Upper digestive endoscopy revealed extensive infiltrating changes in the body of stomach, and histopathologic data confirmed the diagnosis of a Borrmann IV gastric adenocarcinoma. Complementary exams were indicative of a gastric cancer with bone metastases, characterized by disseminated osteoblastic images of the scintigraphy of skeleton. Palliative chemotherapy was the treatment of first choice. High serum levels of CA 19-9, CEA and alkaline phosphatase can constitute useful indicative tools of this challenging condition. Images from scintigraphy study of skeleton can characterize the type and extension of bone metastases. The aim of this case study is to report a case of a very uncommon condition, considering that disseminated osteoblastic metastases rarely develop in this kind of tumor.

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Author Biography

V.M. dos Santos

Professor-Doctor

Internal Medicine Department

References

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Published

2013-04-04

How to Cite

1.
dos Santos V, Vieira T, Marinho C, Loures T, Brandao B, Botan R. Infiltrating gastric adenocarcinoma with disseminated osteoblastic metastases. An Sist Sanit Navar [Internet]. 2013 Apr. 4 [cited 2025 Dec. 6];36(1):153-7. Available from: https://recyt.fecyt.es/index.php/ASSN/article/view/17671

Issue

Vol. 36 No. 1 (2013)

Section

Clinical notes

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