PDF(Pubmed)
Abstract：
Gastric cancers rarely metastasize to the bones. If they do, they have a very poor prognosis. We here present a case study of a 56-year-old man who, within a year, rapidly declined and died. He was first revealed to have an erosion found on an esophageal gastroduodenoscopy (EGD), which was later proven to be a poorly differentiated gastric adenocarcinoma. He then proceeded to have a thoracic trans-hiatal esophagogastrostomy with gastric pull-up to resect this cancer. At this point in time, the review of systems and CT scans of the abdomen and pelvis were negative. A few months later, he started having back pain and was diagnosed with metastatic disease of the bones through a CT scan. Although detecting gastric cancer at an early stage is rare, it is shown to have a better prognosis. It is, therefore, very important to reflect on the possibility of engaging in earlier screening to detect gastric cancers at an earlier stage to minimize the risk of invasions of other organs, especially for those who have other risk factors such as obesity and tobacco use. We believe it is prudent to ensure close follow-up with any patient with early gastric cancer to potentially detect recurrence or metastasis in a timely fashion.
摘要：
胃癌很少转移到骨骼。如果他们这样做，他们的预后很差.我们在这里介绍一个56岁的男人的案例研究，一年之内,迅速下降并死亡。首先发现他在食道胃十二指肠镜检查（EGD）中发现了糜烂，后来被证明是低分化胃腺癌。然后，他进行了经胸食管食管胃造口术，并进行了胃拉术，以切除这种癌症。在这个时间点上,系统回顾以及腹部和骨盆的CT扫描均为阴性.几个月后,他开始背痛，通过CT扫描被诊断为骨骼转移性疾病。尽管在早期发现胃癌是罕见的，它被证明有更好的预后。是的,因此,非常重要的是反思在早期阶段进行早期筛查以检测胃癌的可能性，以最大程度地减少其他器官入侵的风险，特别是那些有其他危险因素的人，如肥胖和吸烟。我们认为，谨慎的做法是确保对任何早期胃癌患者进行密切随访，以及时发现复发或转移。
