A Case of Early Gastric Cancer with Synchronous Multiple Bone Metastases

Yu, Chung Hoon; Kwon, Yong Hwan; Hwangbo, Yup; Choi, Jun Young; Ahn, Sun Young; Lee, Hyun Seok; Kim, Sun Zoo; Jeon, Seong Woo

doi:2013.13.4.258

Korean J Helicobacter Up Gastrointest Res > Volume 13(4); 2013 > Article

Case Report

The Korean Journal of Helicobacter and Upper Gastrointestinal Research 2013;13(4):258-262.
DOI: https://doi.org/10.7704/kjhugr.2013.13.4.258 Published online December 10, 2013.

A Case of Early Gastric Cancer with Synchronous Multiple Bone Metastases

Chung Hoon Yu, Yong Hwan Kwon, Yup Hwangbo, Jun Young Choi, Sun Young Ahn, Hyun Seok Lee, Sun Zoo Kim, Seong Woo Jeon

¹Department of Internal Medicine, Kyungpook National University School of Medicine, Daegu, Korea. sw-jeon@daum.net
²Department of Pathology, Kyungpook National University School of Medicine, Daegu, Korea.

조기 위암과 동시 발생한 다발성 골 전이 1예

류정훈, 권용환, 황보엽, 최준영, 안선영, 이현석, 김선주¹, 전성우

경북대학교 의학전문대학원 내과학교실, 병리학교실¹

Abstract

The prognosis of an early gastric cancer (EGC) is generally excellent, with a 5-year survival rate of 90% in most reports; however, there have been few reports of EGC with distant metastases. Recently we encountered a rare case of EGC with synchronous multiple bone metastases. A 43-year-old woman visited a local clinic due to back pain. Lumbar spine metastases were suspected by MRI. She was transferred to our hospital and underwent bone marrow biopsy which revealed an adenocarinoma. After endoscopic evaluation for primary cancer work-up, we found a suspicious EGC lesion. The results of endoscopic biopsy was signet ring cell carcinoma. Our pathologist additionally reviewed the bone marrow biopsy slides and found signet ring cells in it. PET CT showed disseminated multiple bone metastases but, there wasn't any other malignant lesion. Here we report a rare case of EGC with synchronous multiple bone metastases.

Key Words: Gastric cacer; Metastasis; Bone; Synchronous