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双侧股骨头转移作为胃腺癌复发的唯一表现：一例报告

Bilateral metastasis to the femoral head as the only manifestation of recurrence of gastric adenocarcinoma: a case report.

作者信息

Fernández-Aceñero Ma Jesus, Aramendi Sánchez Teresa

机构信息

Department of Surgical Pathology, Hospital General of Móstoles, Móstoles, Madrid (Spain).

出版信息

World J Surg Oncol. 2003 Sep 18;1(1):18. doi: 10.1186/1477-7819-1-18.

DOI:10.1186/1477-7819-1-18
PMID:14525616
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC212447/
Abstract

BACKGROUND

Metastases to the bone as the sole manifestation of recurrence of a gastric carcinoma are extremely rare. CASE REPORT: We herein report the case of a 63-year-old man operated a year and a half before for a poorly differentiated gastric carcinoma affecting the fundus, who developed bilateral metastasis to the femoral head as the sole manifestation of recurrence. He was treated with radiotherapy to control pain with a poor response and both femoral heads had to be eventually resected. CONCLUSIONS: We review the literature on the rare occurrence of osseous metastasis from gastric carcinoma and comment briefly on the therapeutic options for these cases.

摘要

背景

骨转移作为胃癌复发的唯一表现极为罕见。病例报告：我们在此报告一例63岁男性患者，该患者在一年半前因胃底低分化腺癌接受手术，其复发的唯一表现为双侧股骨头转移。他接受了放射治疗以控制疼痛，但效果不佳，最终不得不切除双侧股骨头。结论：我们回顾了关于胃癌罕见骨转移的文献，并简要评论了这些病例的治疗选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4493/212447/613b20830c7c/1477-7819-1-18-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4493/212447/cfb6006e6553/1477-7819-1-18-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4493/212447/65b23ed79b82/1477-7819-1-18-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4493/212447/4bed96ff6a79/1477-7819-1-18-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4493/212447/613b20830c7c/1477-7819-1-18-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4493/212447/cfb6006e6553/1477-7819-1-18-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4493/212447/65b23ed79b82/1477-7819-1-18-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4493/212447/4bed96ff6a79/1477-7819-1-18-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4493/212447/613b20830c7c/1477-7819-1-18-4.jpg

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本文引用的文献

1
Gastric cancer epidemiology and risk factors.胃癌流行病学与风险因素
J Clin Epidemiol. 2003 Jan;56(1):1-9. doi: 10.1016/s0895-4356(02)00534-6.
2
Early gastric cancer giving rise to bone and brain metastases--a review of the Japanese literature.早期胃癌发生骨和脑转移——日本文献综述
Hepatogastroenterology. 2002 Nov-Dec;49(48):1751-4.
3
An unusual case of osteoblastic metastasis from gastric carcinoma.一例罕见的胃癌成骨细胞转移病例。
Yonsei Med J. 2002 Jun;43(3):377-80. doi: 10.3349/ymj.2002.43.3.377.
4
A case of bone metastasis from gastric carcinoma after a nine-year disease-free interval.一例胃癌术后九年无病间期后发生骨转移的病例。
Jpn J Clin Oncol. 2001 Aug;31(8):407-9. doi: 10.1093/jjco/hye074.
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[A case of gastric cancer with multiple bone metastasis treated by nocturnal 5-fluorouracil infusion combined with pamidronate].
Gan To Kagaku Ryoho. 1998 Oct;25(12):1959-63.
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Bone metastasis of gastric cancer.胃癌骨转移
Jpn J Surg. 1983 May;13(3):173-6. doi: 10.1007/BF02469472.
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[Clinicopathological study of gastric cancer with bone metastasis].
Gan To Kagaku Ryoho. 1987 May;14(5 Pt 2):1717-22.
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An unusual case of gastric carcinoma initially presenting bone metastasis and later transverse myelopathy.
Jpn J Clin Oncol. 1985 Mar;15(1):133-41.
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[Radiotherapy in bone metastases--with special reference to its effect on relieving pain].骨转移瘤的放射治疗——特别提及缓解疼痛的效果
Gan No Rinsho. 1989 Sep;35(10):1149-52.
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Skull base metastasis from gastric cancer--case report.
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