Skeletal muscle metastases as the first sign of a recurrence of gastric carcinoma

A 63-year-old Chinese man had severe right thigh pain that caused him to be unable to walk. Four years earlier, he had undergone gastrectomy followed by postoperative chemotherapy (Oxaliplatin+Capecitabine) for advanced gastric cancer. The pathological diagnosis was poorly differentiated adenocarcinoma (Fig. 1A). Magnetic resonance imaging (MRI) showed extensive enhancement in multiple skeletal muscles (Fig. 2). Importantly, the affected muscles did not contain distinct masses but were diffusely enlarged.

Source: Digestive and Liver Disease - September 29, 2016 Category: Gastroenterology Authors: Xiao-Xia Wang, Hou-Qiang Liu, Fu-Rong Deng, Jie Liu Tags: Image of the Month Source Type: research