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Bone metastases with multiple fluid-fluid levels from gastric cancer: a case report and review of literature

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Abstract

We report the case of a 54-year-old man with 6 months of progressive sacral pain. Computed tomography showed a large osteolytic mass in the sacrum with multiple osteolytic foci in the ilium and lumbar spine. Magnetic resonance imaging revealed multiple fluid-fluid levels in the sacral lesion as well as in the lumbar foci. The multiple bone lesions were initially diagnosed as a primary sacral malignancy with multiple bone metastases. A biopsy of the sacral lesion under the guidance of computed tomography was performed and a metastatic adenocarcinoma from the stomach or lung was found pathologically. Finally, a gastric tubular adenocarcinoma was detected by endoscopic biopsy and the diagnosis of the patient was gastric cancer with uncommon multiple bone metastases.

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Authors and Affiliations

  1. Peking University Third Hospital, 49 North Garden Road, Haidian District, Beijing, China

    Min Chen & Huishu Yuan

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  1. Min Chen
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  2. Huishu Yuan
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Correspondence to Huishu Yuan.

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Chen, M., Yuan, H. Bone metastases with multiple fluid-fluid levels from gastric cancer: a case report and review of literature. Skeletal Radiol 48, 813–817 (2019). https://doi.org/10.1007/s00256-018-3075-5

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  • DOI: https://doi.org/10.1007/s00256-018-3075-5

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