Journal of Nippon Medical School: Vol.68 No.3 page.271

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ArticleTitle An Elderly Patient with Gastric Carcinoma Developing Multiple Metastasis in Skeletal Muscle

AuthorList Kenzo Oba¹, Tami Ito¹, Chizuko Nakatani¹, Kojiro Okamura¹, Hiroshi Yamaguchi¹, Yumiko Ajiro¹, Tatsuya Suzuki¹, Hiroshi Nakano¹, Shohei Metori¹, Kazufumi Sano², Hiko Hyakusoku² and Nobutaka Yamada³

Affiliation ¹Division of Geriatric Medicine, Nippon Medical School ²Department of Plastic and Reconstructive Surgery, Nippon Medical School ³Department of Pathology, Nippon Medical School

Language EN

Volume 68

Issue 3

Year 2001

Page 271-274

Received Decemver 8, 2000

Accepted January 15, 2001

Keywords gastric carcinoma, skeletal muscle, metastasis, elderly

Abstract We present a 70-year-old man with gastric carcinoma developing multiple metastasis in skeletal muscle. He had a right supraclavicular lymph node swelling. Brain, chest and abdomen CT scans revealed metastatic lesions in the brain, lung, liver and bilateral adrenal glands. Further, CT showed a ring enhanced soft-tissue mass in the left lumbar muscle. Needle aspirate of the mass in both the left lumbar muscle and the right enlarged supraclavicular lymph node revealed cells suggestive of poorly differentiated adenocarcinoma. Upper gastrointestinal endoscopic evaluation demonstrated an advanced gastric carcinoma. Two months after admission, the tumor in the left lumbar muscle had grown and some new lesions in the left iliopsoas muscles appeared. Intramuscular metastasis from gastric carcinoma is an extremely rare phenomenon.

Correspondence to Kenzo Oba, MD, The Division of Geriatric Medicine, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo, 113-8603, Japan
ohba@nms.ac.jp

ArticleTitle	An Elderly Patient with Gastric Carcinoma Developing Multiple Metastasis in Skeletal Muscle
AuthorList	Kenzo Oba¹, Tami Ito¹, Chizuko Nakatani¹, Kojiro Okamura¹, Hiroshi Yamaguchi¹, Yumiko Ajiro¹, Tatsuya Suzuki¹, Hiroshi Nakano¹, Shohei Metori¹, Kazufumi Sano², Hiko Hyakusoku² and Nobutaka Yamada³
Affiliation	¹Division of Geriatric Medicine, Nippon Medical School ²Department of Plastic and Reconstructive Surgery, Nippon Medical School ³Department of Pathology, Nippon Medical School
Language	EN
Volume	68
Issue	3
Year	2001
Page	271-274
Received	Decemver 8, 2000
Accepted	January 15, 2001
Keywords	gastric carcinoma, skeletal muscle, metastasis, elderly
Abstract	We present a 70-year-old man with gastric carcinoma developing multiple metastasis in skeletal muscle. He had a right supraclavicular lymph node swelling. Brain, chest and abdomen CT scans revealed metastatic lesions in the brain, lung, liver and bilateral adrenal glands. Further, CT showed a ring enhanced soft-tissue mass in the left lumbar muscle. Needle aspirate of the mass in both the left lumbar muscle and the right enlarged supraclavicular lymph node revealed cells suggestive of poorly differentiated adenocarcinoma. Upper gastrointestinal endoscopic evaluation demonstrated an advanced gastric carcinoma. Two months after admission, the tumor in the left lumbar muscle had grown and some new lesions in the left iliopsoas muscles appeared. Intramuscular metastasis from gastric carcinoma is an extremely rare phenomenon.
Correspondence to	Kenzo Oba, MD, The Division of Geriatric Medicine, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo, 113-8603, Japan ohba@nms.ac.jp