Bilateral metastasis to the femoral head as the only manifestation of recurrence of gastric adenocarcinoma: a case report

Abstract

Abstract Background Metastases to the bone as the sole manifestation of recurrence of a gastric carcinoma are extremely rare. Case report We herein report the case of a 63-year-old man operated a year and a half before for a poorly differentiated gastric carcinoma affecting the fundus, who developed bilateral metastasis to the femoral head as the sole manifestation of recurrence. He was treated with radiotherapy to control pain with a poor response and both femoral heads had to be eventually resected. Conclusions We review the literature on the rare occurrence of osseous metastasis from gastric carcinoma and comment briefly on the therapeutic options for these cases.

Keywords

• gastric tumors
• neoplasm
• adenocarcinoma
• femur
• surgery
• carcinoma
• recurrence
• bone
• metastasis