The Korean Journal of Medicine

The Korean Association of Internal Medicine (대한내과학회)
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Metastasis to the Iliopsoas Muscle from Advanced Gastric Carcinoma: an Unusual Site of Metastasis

엉덩허리근의 마비로 발현된 엉덩허리근으로 위암의 전이 1예

  • Kim, Hye-Sook (Department of Internal Medicine, Korea University College of Medicine) ;
  • Kang, Jun-Hyuk (Department of Internal Medicine, Korea University College of Medicine) ;
  • Lee, Suk-Young (Department of Internal Medicine, Korea University College of Medicine) ;
  • Chang, Won-Gin (Department of Internal Medicine, Korea University College of Medicine) ;
  • Oh, Sang-Cheul (Department of Internal Medicine, Korea University College of Medicine) ;
  • Kim, Yeol-Hong (Department of Internal Medicine, Korea University College of Medicine) ;
  • Kim, Jun-Suk (Department of Internal Medicine, Korea University College of Medicine)
  • 김혜숙 (고려대학교 의과대학 내과학교실) ;
  • 강준혁 (고려대학교 의과대학 내과학교실) ;
  • 이석영 (고려대학교 의과대학 내과학교실) ;
  • 장원진 (고려대학교 의과대학 내과학교실) ;
  • 오상철 (고려대학교 의과대학 내과학교실) ;
  • 김열홍 (고려대학교 의과대학 내과학교실) ;
  • 김준석 (고려대학교 의과대학 내과학교실)
  • Published : 2012.06.01
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Abstract

Advanced gastric cancer with skeletal muscle metastasis is a rare occurrence. Here, we report a rare case of gastric carcinoma with psoas muscle metastasis. This patient had advanced gastric carcinoma and complained of inability to extend the left hip joint due to pain. Because magnetic resonance imaging (MRI) revealed an iliopsoas mass showing heterogeneous signal intensity with fluid collection and enhancement around the mass, we speculated that the mass was an intramuscular metastatic tumor from primary gastric carcinoma as well as an intramuscular abscess. Histopathologically, the patient had a metastasis from primary gastric adenocarcinoma. Therefore, the patient was treated with radiotherapy and subsequent chemotherapy.

내원 2년 전 위암으로 근치적 위전절제술 및 보조항암치료 후 질환의 재발로 완화 목적의 항암화학치료 중이던 환자가 아래허리와 왼쪽 허벅지의 통증의 증상으로 내원하여 자기공명 영상 및 조직검사를 통해 근육으로 위암전이를 진단하였다. 영상적 검사 및 조직검사를 통한 진단으로 적극적인 국소 치료 및 전신항암치료를 통해 증상 조절을 할 수 있었던 사례를 경험하였기에 문헌고찰과 함께 보고한다.

Keywords

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