A Rare Case of Clival Metastasis in a Patient with Gastric Cancer

We report a rare case of clival metastasis from gastric cancer. A 73-year-old man with advanced gastric cancer treated with nivolumab as a third-line chemotherapy experienced headache, tongue deviation, and difficulties in speaking clearly. We suspected stroke or brain metastasis, but brain contrast...

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Autores principales: Yoshikawa-Kimura, Akie, Taira, Koichi, Katanosaka, Yuki, Nakata, Akinobu, Nadatani, Yuji, Fukunaga, Shusei, Otani, Koji, Hosomi, Shuhei, Tanaka, Fumio, Kamata, Noriko, Nagami, Yasuaki, Watanabe, Toshio, Fujiwara, Yasuhiro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7807117/
https://www.ncbi.nlm.nih.gov/pubmed/33328414
http://dx.doi.org/10.2169/internalmedicine.5457-20
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author Yoshikawa-Kimura, Akie
Taira, Koichi
Katanosaka, Yuki
Nakata, Akinobu
Nadatani, Yuji
Fukunaga, Shusei
Otani, Koji
Hosomi, Shuhei
Tanaka, Fumio
Kamata, Noriko
Nagami, Yasuaki
Watanabe, Toshio
Fujiwara, Yasuhiro
author_facet Yoshikawa-Kimura, Akie
Taira, Koichi
Katanosaka, Yuki
Nakata, Akinobu
Nadatani, Yuji
Fukunaga, Shusei
Otani, Koji
Hosomi, Shuhei
Tanaka, Fumio
Kamata, Noriko
Nagami, Yasuaki
Watanabe, Toshio
Fujiwara, Yasuhiro
author_sort Yoshikawa-Kimura, Akie
collection PubMed
description We report a rare case of clival metastasis from gastric cancer. A 73-year-old man with advanced gastric cancer treated with nivolumab as a third-line chemotherapy experienced headache, tongue deviation, and difficulties in speaking clearly. We suspected stroke or brain metastasis, but brain contrast-enhanced magnetic resonance imaging demonstrated a clival mass, diagnosed as clival metastasis from gastric cancer. The tumor could not be identified by plain computed tomography and plain magnetic resonance imaging alone. He received palliative radiotherapy (30 Gy/10 fr); his symptoms improved gradually. Although metastasis from gastric cancer to other organs is common, bone metastases are rare.
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spelling pubmed-78071172021-01-27 A Rare Case of Clival Metastasis in a Patient with Gastric Cancer Yoshikawa-Kimura, Akie Taira, Koichi Katanosaka, Yuki Nakata, Akinobu Nadatani, Yuji Fukunaga, Shusei Otani, Koji Hosomi, Shuhei Tanaka, Fumio Kamata, Noriko Nagami, Yasuaki Watanabe, Toshio Fujiwara, Yasuhiro Intern Med Case Report We report a rare case of clival metastasis from gastric cancer. A 73-year-old man with advanced gastric cancer treated with nivolumab as a third-line chemotherapy experienced headache, tongue deviation, and difficulties in speaking clearly. We suspected stroke or brain metastasis, but brain contrast-enhanced magnetic resonance imaging demonstrated a clival mass, diagnosed as clival metastasis from gastric cancer. The tumor could not be identified by plain computed tomography and plain magnetic resonance imaging alone. He received palliative radiotherapy (30 Gy/10 fr); his symptoms improved gradually. Although metastasis from gastric cancer to other organs is common, bone metastases are rare. The Japanese Society of Internal Medicine 2020-12-15 2020-12-15 /pmc/articles/PMC7807117/ /pubmed/33328414 http://dx.doi.org/10.2169/internalmedicine.5457-20 Text en Copyright © 2020 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/ The Internal Medicine is an Open Access journal distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Yoshikawa-Kimura, Akie
Taira, Koichi
Katanosaka, Yuki
Nakata, Akinobu
Nadatani, Yuji
Fukunaga, Shusei
Otani, Koji
Hosomi, Shuhei
Tanaka, Fumio
Kamata, Noriko
Nagami, Yasuaki
Watanabe, Toshio
Fujiwara, Yasuhiro
A Rare Case of Clival Metastasis in a Patient with Gastric Cancer
title A Rare Case of Clival Metastasis in a Patient with Gastric Cancer
title_full A Rare Case of Clival Metastasis in a Patient with Gastric Cancer
title_fullStr A Rare Case of Clival Metastasis in a Patient with Gastric Cancer
title_full_unstemmed A Rare Case of Clival Metastasis in a Patient with Gastric Cancer
title_short A Rare Case of Clival Metastasis in a Patient with Gastric Cancer
title_sort rare case of clival metastasis in a patient with gastric cancer
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7807117/
https://www.ncbi.nlm.nih.gov/pubmed/33328414
http://dx.doi.org/10.2169/internalmedicine.5457-20
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