Metástasis vertebrales como forma de presentación de un adenocarcinoma gástrico

Abstract

tebral body and lesion of the adjacent paravertebral and epidural soft tissues modulating a moderated spinal stenosis. She was admitted to the ward for analgesic and conservative treatment and for investigation purposes. Several medical exams were performed in order to determine the primary tumor. Laboratory workup showed a slightly elevated alkaline phosphatase level (204 U/L) and a normal hemoglobin level, renal function, calcium, inflammatory markers, serum and urinary immunofixation, light chains and immunoglobulin levels. Tumor markers were positive for Carcinoembryonic Antigen (5.2ng/mL), Ca 15.3 (24.4 U/mL), Cyfra 21.1 (7.8ng/mL) and highly elevated for Ca 19.9 (89.2 U/mL) and Ca 72.4 (35.4 U/mL).