An unusual case of osteoblastic metastasis from gastric carcinoma

被引:21
作者
Chung, YS [1 ]
Choi, TY
Ha, CY
Kim, HM
Lee, KJ
Park, CH
Fitzpatrick, LA
机构
[1] Ajou Univ, Sch Med, Dept Endocrinol & Metab, Suwon, South Korea
[2] Ajou Univ, Sch Med, Dept Gastroenterol, Suwon, South Korea
[3] Ajou Univ, Sch Med, Dept Nucl Med, Suwon, South Korea
[4] Mayo Clin & Mayo Fdn, Dept Internal Med, Div Metab Endocrinol & Nutr, Rochester, MN 55905 USA
关键词
osteoblastic metastasis; gastric carcinoma;
D O I
10.3349/ymj.2002.43.3.377
中图分类号
R5 [内科学];
学科分类号
1002 [临床医学]; 100201 [内科学];
摘要
We report an unusual case of osteoblastic metastasis from gastric carcinoma. In this case, bone metastasis was the initial manifestation of the cancer. The laboratory findings revealed mild hypocalcemia and markedly elevated alkaline phosphatase levels. Plain X-ray showed mottled osteoblastic changes in the pelvis. Bone marrow and bone biopsy of the pelvis revealed metastatic adenocarcinoma with increased osteoblastic activity. An extensive search for the primary site revealed advanced gastric carcinoma, which was confirmed by endoscopic biopsy.
引用
收藏
页码:377 / 380
页数:4
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