Journal List > Yonsei Med J > v.43(3) > 1029369

TOOLS
Chung, Choi, Ha, Kim, Lee, Park, and Fitzpatr: An Unusual Case of Osteoblastic Metastasis from Gastric Carcinoma
Case Report
Yonsei Medical Journal

Yonsei Medical Journal 2002; 43(3): 377-380.

Published online: 1 April 2009

DOI: https://doi.org/10.3349/ymj.2002.43.3.377

An Unusual Case of Osteoblastic Metastasis from Gastric Carcinoma

Yoon Sok Chung1, Tae Young Choi1, Chang Young Ha1, Hyeon Man Kim1, Kwang Jae Lee2, Chan H. Park3, Lorraine A. Fitzpatr4

1Department of Endocrinology and Metabolism, Ajou University School of Medicine, Suwon, Korea.

2Department of Gastroenterology, Ajou University School of Medicine, Suwon, Korea.

3Department of Nuclear Medicine, Ajou University School of Medicine, Suwon, Korea.

4Division of Endocrinology, Metabolism and Nutrition, Department of Internal Medicine, Mayo Clinic and Mayo Foundation, Rochester, MN 55905, USA.

Reprint address: requests to Dr. Yoon-Sok Chung, Department of Endocrinology and Metabolism, Ajou University School of Medicine, Suwon, Korea. Tel: 82-31-219-5127, Fax: 82-31-219-5109, yschung@madang.ajou.ac.kr

Received 5 September 2001       Accepted 29 January 2001

Copyright © 2002 The Yonsei University College of Medicine

Abstract

We report an unusual case of osteoblastic metastasis from gastric carcinoma. In this case, bone metastasis was the initial manifestation of the cancer. The laboratory findings revealed mild hypocalcemia and markedly elevated alkaline phosphatase levels. Plain X-ray showed mottled osteoblastic changes in the pelvis. Bone marrow and bone biopsy of the pelvis revealed metastatic adenocarcinoma with increased osteoblastic activity. An extensive search for the primary site revealed advanced gastric carcinoma, which was confirmed by endoscopic biopsy.

Keywords: Osteoblastic metastasis, gastric carcinoma

TOOLS
Similar articles