엉덩허리근의 마비로 발현된 엉덩허리근으로 위암의 전이 1예
Metastasis to the Iliopsoas Muscle from Advanced Gastric Carcinoma: an Unusual Site of Metastasis
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
내원 2년 전 위암으로 근치적 위전절제술 및 보조항암치료 후 질환의 재발로 완화 목적의 항암화학치료 중이던 환자가 아래허리와 왼쪽 허벅지의 통증의 증상으로 내원하여 자기공명 영상 및 조직검사를 통해 근육으로 위암전이를 진단하였다. 영상적 검사 및 조직검사를 통한 진단으로 적극적인 국소 치료 및 전신항암치료를 통해 증상 조절을 할 수 있었던 사례를 경험하였기에 문헌고찰과 함께 보고한다.
Abstract
Advanced gastric cancer with skeletal muscle metastasis is a rare occurrence. Here, we report a rare case of gastric carcinoma with psoas muscle metastasis. This patient had advanced gastric carcinoma and complained of inability to extend the left hip joint due to pain. Because magnetic resonance imaging (MRI) revealed an iliopsoas mass showing heterogeneous signal intensity with fluid collection and enhancement around the mass, we speculated that the mass was an intramuscular metastatic tumor from primary gastric carcinoma as well as an intramuscular abscess. Histopathologically, the patient had a metastasis from primary gastric adenocarcinoma. Therefore, the patient was treated with radiotherapy and subsequent chemotherapy. (Korean J Med 2012;82: 754-758)
참고문헌 (18)
- Kondo S, "Intramuscular metastasis from gastric cancer", Gastric Cancer, 5, pp.107~111 (2002)
- Beşe NS, "Skeletal muscle: an unusual site of distant metastasis in gastric carcinoma", Radiat Med, 24, pp.150~153 (2006)
- Herring CL Jr, "Metastatic carcinoma to skeletal muscle: a report of 15 patients", Clin Orthop Relat Res, pp.272~281 (1998)
- Tuoheti Y, "Skeletal muscle metastases of carcinoma: a clinicopathological study of 12 cases", Jpn J Clin Oncol, 34, pp.210~214 (2004)
- Narváez JA, "Bone and skeletal muscle metastases from gastric adenocarcinoma: unusual radiographic, CT and scintigraphic features", Eur Radiol, 8, pp.1366~1369 (1998)
- Sato N, "Case of stomach cancer with remote metastases to the entire body, especially to the spleen and bilateral iliopsoas", Naika, 9, pp.774~778 (1962)
- Treves R, "Les metastases musculaires", Sem Hosp Paris, 55, pp.1471~1475 (1979)
- Surov A, "Skeletal muscle metastases: primary tumours, prevalence, and radiological features", Eur Radiol, 20, pp.649~658 (2010)
- Molina-Garrido MJ, "Muscle metastasis of carcinoma", Clin Transl Oncol, 13, pp.98~101 (2011)
- Agar M, "The management of malignant psoas syndrome: case reports and literature review", J Pain Symptom Manage, 28, pp.282~293 (2004)
- Obley DL, "Bone-forming gastric metastases in musclecomputed tomographic demonstration", J Comput Tomogr, 7, pp.129~134 (1983)
- Rosenbaum LH, "Malignant myositis ossificans: occult gastric carcinoma presenting as an acute rheumatic disorder", Ann Rheum Dis, 43, pp.95~97 (1984)
- Arnold RW, "Acquired divergent strabismus: presumed metastatic gastric carcinoma to the medial rectus muscle", J Pediatr Ophthalmol Strabismus, 26, pp.50~51 (1989)
- Porile JL, "Gastric adenocarcinoma presenting with soft tissue masses", Am J Gastroenterol, 85, pp.76~77 (1990)
- Van Gelderen WF, "Gastric carcinoma metastases to extraocular muscles", J Comput Assist Tomogr, 17, pp.499~500 (1993)
- Sudo A, "Intramuscular metastasis of carcinoma", Clin Orthop Relat Res, pp.213~217 (1993)
- Amano Y, "Gastric carcinoma metastasis to calf muscles: MR findings", Radiat Med, 14, pp.35~36 (1996)
- Pestalozzi BC, "Muscle metastasis as initial manifestation of adenocarcinoma of the stomach", Schweiz Med Wochenschr, 128, pp.1414~1417 (1998)