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Gastric adenocarcinoma presenting with multiple skeletal muscle metastases
  1. Dharanesh Daneti1,
  2. Kuppusamy Senthamizhselvan1,
  3. Surendra Kumar Verma2 and
  4. Pazhanivel Mohan1
  1. 1Medical Gastroenterology, Jawaharlal Institute of Post Graduate Medical Education, Pondicherry, Puducherry, India
  2. 2Pathology, Jawaharlal Institute of Post Graduate Medical Education, Pondicherry, Puducherry, India
  1. Correspondence to Dr Kuppusamy Senthamizhselvan; senthamizh2909{at}


A 42-year-old man presented to the gastroenterology clinic with features of gastric outlet obstruction, significant weight loss, anaemia, ascites, and pain in the lower back and left thigh. CT scan of the abdomen and pelvis showed wall thickening in the antropyloric region of the stomach and enhancing soft tissue lesion in the left psoas and right gluteal region. Gastroscopy revealed a circumferential growth in the antrum and pylorus of the stomach, and biopsy from the growth was reported as moderately differentiated adenocarcinoma. Positron emission tomography-CT scan showed multiple skeletal muscle metastases all over the body. Fine-needle aspiration cytology and immunohistochemistry from the psoas lesion confirmed metastatic adenocarcinoma deposits. He underwent antropyloric stenting for his obstructive symptoms and received supportive care, finally succumbed to his illness after 6 weeks.

  • Gastric cancer
  • Palliative care
  • Pathology

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  • Contributors DD and KS wrote the manuscript. SKV guided in preparing the manuscript and provided the histopathology images. PM supervised and edited the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Next of kin consent obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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