Metastasis of osteosarcoma to stomach made clinically evident by hematemesis: A case report

Hiroshi Urakawa, Satoshi Tsukushi, Issei Tsurudome, Akihiro Hirata, Eisuke Arai, Eiji Kozawa, Naohisa Futamura, Ryoji Miyahara, Naoki Ishiguro, Yoshihiro Nishida

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Abstract

Background: Gastric metastasis from osteosarcoma is very rare and its clinical features are not well recognized.Case presentation: A 73-year-old man was diagnosed with osteosarcoma and treated with four cycles of preoperative chemotherapy with ifosfamide and doxorubicin followed by wide resection. Two cycles of postoperative chemotherapy with ifosfamide and doxorubicin and ten cycles of chemotherapy with carboplatin and etoposide were administered. Eleven months after the surgery, he vomited fresh blood. Unusual progression of anemia was observed with the hematemesis. A biopsy was performed by gastrointestinal endoscopy, and the stomach tumor was diagnosed as metastasis of osteosarcoma.Conclusions: Even though gastric metastasis from osteosarcoma is very rare, all three previous reports and our case showed the presence of ulcer on the surface of the gastric lesion. We should consider the possibility of gastric metastasis in patients with osteosarcoma in whom progression of anemia or gastric hemorrhage is observed.

Original languageEnglish
Article number48
JournalWorld Journal of Surgical Oncology
Volume11
DOIs
Publication statusPublished - 26-02-2013

All Science Journal Classification (ASJC) codes

  • Surgery
  • Oncology

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    Urakawa, H., Tsukushi, S., Tsurudome, I., Hirata, A., Arai, E., Kozawa, E., Futamura, N., Miyahara, R., Ishiguro, N., & Nishida, Y. (2013). Metastasis of osteosarcoma to stomach made clinically evident by hematemesis: A case report. World Journal of Surgical Oncology, 11, [48]. https://doi.org/10.1186/1477-7819-11-48