PDF(Pubmed)
Abstract：
Gastric cancer is the fifth leading cause of cancer-related deaths in the world. The occurrence of bone metastases (BM) in gastric cancer without prior gastrointestinal (GI) symptoms is a rare phenomenon that has been sporadically documented in the existing literature. We report a case of a 27-year-old male presenting with chief complaints of severe backache for one month. After an upper gastrointestinal endoscopy and biopsy, the primary source of cancer was identified as a solitary gastric adenocarcinoma, supporting the diagnosis of bony metastases on the magnetic resonance imaging (MRI) of the spine. The patient was planned to start on palliative chemotherapy (5-fluorouracil, leucovorin, oxaliplatin, and docetaxel {FLOT} regimen) with palliative radiotherapy of 20 Gy in five fractions to bony metastasis. The patient denied treatment and was discharged against medical advice.
摘要：
胃癌是世界上癌症相关死亡的第五大原因。在没有胃肠道（GI）症状的胃癌中发生骨转移（BM）是一种罕见的现象，在现有文献中偶尔有记录。我们报告了一例27岁的男性，表现出严重背痛的主诉一个月。上消化道内镜和活检后，癌症的主要来源被确定为孤立的胃腺癌，支持在脊柱磁共振成像（MRI）上诊断骨转移。患者计划开始姑息化疗（5-氟尿嘧啶，亚叶酸,奥沙利铂,和多西他赛{FLOT}方案）与20Gy的姑息性放疗，分五个部分进行骨转移。患者拒绝治疗，并在医疗建议下出院。
