Gastric adenocarcinoma presenting with multiple skeletal muscle metastases.
Dharanesh DanetiKuppusamy SenthamizhselvanSurendra Kumar VermaPazhanivel MohanPublished in: BMJ case reports (2021)
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.
Keyphrases
- fine needle aspiration
- computed tomography
- positron emission tomography
- skeletal muscle
- ultrasound guided
- squamous cell carcinoma
- dual energy
- soft tissue
- image quality
- weight loss
- locally advanced
- insulin resistance
- contrast enhanced
- magnetic resonance imaging
- healthcare
- pet imaging
- pain management
- small cell lung cancer
- primary care
- bariatric surgery
- chronic pain
- gastric bypass
- palliative care
- magnetic resonance
- neuropathic pain
- adipose tissue
- quality improvement
- physical activity
- case report
- rectal cancer
- sleep quality
- body mass index