Malignant myositis ossificans: occult gastric carcinoma presenting as an acute rheumatic disorder.

Rosenbaum, Lewis; Nicholas, John J.; Slasky, B. Simon; Obley, D L; Ellis, Lawrence D.

doi:10.1136/ard.43.1.95

Cited by 34 publications

(32 citation statements)

References 7 publications

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“…There are several reports, including our report, of surgical excision, or radiation therapy, or systemic chemotherapy for intramuscular metastasis from primary gastric cancer [3,4,7,12,13]. The clinical complaints were alleviated by these therapies in some patients, including our patient [4,12].…”

Section: Discussionmentioning

confidence: 99%

“…Contrast enhanced CT may provide more information than unenhanced CT [3,14]. However, CT is particularly useful in detecting the calcification of lesions, which is sometimes caused by mucinous adenocarcinoma [12,13]. In such cases, CT scans are useful in detecting metastatic lesions with ossification.…”

Section: Discussionmentioning

confidence: 99%

“…In these previous reports, there was no difference according to sex, and the mean age of the patients was 57.7 years (range, 47-72 years). Metastases developed in multiple skeletal muscles in some patients [4,12], including our patient. In our patient, the metastatic pattern of gastric carcinoma was unusual, as multiple metastases developed, but not in liver and lungs.…”

Section: Discussionmentioning

confidence: 99%

“…4); these findings were related to the characteristic MRI findings. In our patient, a possible differential diagnosis [4] 1990 65 M Sartorius m., Rectus femoris m. Narvaez et al [5] 1998 49 M Psoas m. Traves and Barruch [6] 1979 52 M Psoas m. Pestalozzi and von Hochstetter [7] 1998 72 F Gastrocnemius m. Amano and Kumazaki [8] 1996 57 M Gastrocnemius m. Toillon et al [9] 1994 58 M Gastrocnemius m. Van Gelderen [10] 1993 47 F Extraocular m. Arnold et al [11] 1989 59 F Extraocular m. Rosenbaum et al [12] 1984 54 M Upper arm m., Femoral m. Obley et al [13] 1983 54 M Paraspinal m. Our patient 64 F Gluteus maximus m., Adductor magnus m. Fig. 4A,B.…”

Section: Discussionmentioning

confidence: 99%

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Intramuscular metastasis from gastric cancer

et al. 2002

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Intramuscular metastasis from gastric cancer

et al. 2002

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“…As far as the radiotherapy is concerned, some reports mentioned effective control of the pain and the size of metastatic lesions (2,5,6). The radiotherapy dose was often decided on according to the location and depth of this type of metastatic lesion (5).…”

Section: Mide Kanserinin Femoral Kasa Metastaz›mentioning

confidence: 99%

Femoral muscle metastasis from gastric carcinoma

Pv¹,

Polydorou²,

Xn³

et al. 2012

Turk J Gastroenterol

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REFERENCES Femoral muscle metastasis from gastric carcinoma Mide kanserinin femoral kasa metastaz› To the Editor,The incidence of skeletal metastasis from gastric cancer ranges from 0.8-17.5% (1,2). We report a patient with intramuscular metastasis to his left thigh diagnosed 24 months after gastrectomy for a T3N1 adenocarcinoma of the stomach. Magnetic resonance imaging (MRI) revealed a soft tissue mass in the upper third of his left thigh, for which he was operated twice and complete resection was achieved. The biopsy showed metastasis from the gastric adenocarcinoma. Subsequently, the patient underwent irradiation. The patient lived for 30 months after the completion of radiation therapy for the metastasis, and his overall survival was 47 months. In this report, the metastatic pattern of gastric carcinoma was unusual, as it was not developed in the liver and lung but in skeletal muscles.Radiographic evaluation of the mass often provides valid information on intramuscular metastatic tumors. In MRI, metastatic lesions are usually of low signal intensity on T1-weighted images and high signal intensity on T2-weighted images (3,4). In this case, sagittal T2-weighted images depicted the involved muscles of the left thigh with long T2 values and diffuse swelling. Axial T2-weighted images were useful for separation of the involved from the uninvolved muscles (Figure 1).

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