胃腺癌伴多发骨骼肌转移。
Gastric adenocarcinoma presenting with multiple skeletal muscle metastases.
机构信息
Medical Gastroenterology, Jawaharlal Institute of Post Graduate Medical Education, Pondicherry, Puducherry, India.
Medical Gastroenterology, Jawaharlal Institute of Post Graduate Medical Education, Pondicherry, Puducherry, India
出版信息
BMJ Case Rep. 2021 Jan 18;14(1):e239518. doi: 10.1136/bcr-2020-239518.
A 42-year-old man presented to the gastroenterology clinic with features of gastric outlet obstruction, significant weight loss, anaemia, ascites, and pain in the lower back and left thigh. CT scan of the abdomen and pelvis showed wall thickening in the antropyloric region of the stomach and enhancing soft tissue lesion in the left psoas and right gluteal region. Gastroscopy revealed a circumferential growth in the antrum and pylorus of the stomach, and biopsy from the growth was reported as moderately differentiated adenocarcinoma. Positron emission tomography-CT scan showed multiple skeletal muscle metastases all over the body. Fine-needle aspiration cytology and immunohistochemistry from the psoas lesion confirmed metastatic adenocarcinoma deposits. He underwent antropyloric stenting for his obstructive symptoms and received supportive care, finally succumbed to his illness after 6 weeks.
一位 42 岁男性因胃出口梗阻、明显体重减轻、贫血、腹水以及腰背部和左大腿疼痛等症状到胃肠病学诊所就诊。腹部和骨盆 CT 扫描显示胃贲门区胃壁增厚和左腰大肌及右臀肌区域强化的软组织病变。胃镜检查发现胃窦和幽门呈环形生长，生长部位的活检报告为中分化腺癌。正电子发射断层扫描-CT 扫描显示全身多处骨骼肌转移。腰大肌病变的细针抽吸细胞学和免疫组织化学检查证实为转移性腺癌沉积。他因梗阻症状接受了胃出口支架置入术，并接受了支持性治疗，但最终在 6 周后病情恶化去世。
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