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| Autor principal: | |
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| Formato: | Recurso digital |
| Lenguaje: | inglés |
| Publicado: |
Zenodo
2025
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| Acceso en línea: | https://doi.org/10.5281/zenodo.14874477 |
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- <p><span>A<span> </span>59-year-old<span> </span>male<span> </span>was<span> </span>admitted<span> </span>for generalized<span> </span>abdominal<span> </span>pain<span> </span>for a<span> </span>month,<span> </span>associated<span> </span>anemia,<span> </span>thrombocytopenia, and<span> </span>elevated<span> </span>alkaline<span> </span>phosphatase. An upper digestive<span> </span>endoscopy<span> </span>was<span> </span>performed, showing<span> </span>ulceration on the<span> </span>anterior face of the gastric body-antrum with characteristics of malignancy. A histopathology study of the biopsy sample revealed a high-grade poorly differentiated infiltrating tubular adenocarcinoma.</span></p> <p><span>Abdominal-enhanced<span> </span>CT<span> </span>images<span> </span>revealed<span> </span>multiple<span> </span>metastatic<span> </span>lesions<span> </span>in<span> </span>vertebral<span> </span>bodies<span> </span>and<span> </span>pelvic<span> </span><span>bones.</span></span></p> <p><span>Full body scintigraphy showed multifocal enhancement on the skeleton and absence of renal visualization (typical pattern of superscan), suggestive of bone metastatic spread <span>[1,2]</span>. Subsequently, a bone marrow aspiration of the sternum was performed, which confirmed metastatic infiltration of the bone marrow due to gastric neoplasia.</span></p> <p><span>Osteoblastic<span> </span>metastasis<span> </span>associated<span> </span>with<span> </span>gastric<span> </span>cancer<span> </span>is<span> </span>considered<span> </span>a<span> </span>relatively<span> </span>uncommon<span> </span>phenomenon<span> </span><span>[2]</span><span>.</span></span></p>