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-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.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2020 |
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| Erschienen: |
2020 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:59 |
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| Enthalten in: |
Internal medicine (Tokyo, Japan) - 59(2020), 24 vom: 01., Seite 3161-3164 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Yoshikawa-Kimura, Akie [VerfasserIn] |
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| Links: |
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| Themen: |
31YO63LBSN |
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| Anmerkungen: |
Date Completed 14.04.2021 Date Revised 14.04.2021 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.2169/internalmedicine.5457-20 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM318934752 |
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| 520 | |a 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 | ||
| 650 | 4 | |a Case Reports | |
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a clival metastasis | |
| 650 | 4 | |a contrast-enhanced magnetic resonance imaging | |
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| 650 | 4 | |a radiotherapy | |
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| 700 | 1 | |a Taira, Koichi |e verfasserin |4 aut | |
| 700 | 1 | |a Katanosaka, Yuki |e verfasserin |4 aut | |
| 700 | 1 | |a Nakata, Akinobu |e verfasserin |4 aut | |
| 700 | 1 | |a Nadatani, Yuji |e verfasserin |4 aut | |
| 700 | 1 | |a Fukunaga, Shusei |e verfasserin |4 aut | |
| 700 | 1 | |a Otani, Koji |e verfasserin |4 aut | |
| 700 | 1 | |a Hosomi, Shuhei |e verfasserin |4 aut | |
| 700 | 1 | |a Tanaka, Fumio |e verfasserin |4 aut | |
| 700 | 1 | |a Kamata, Noriko |e verfasserin |4 aut | |
| 700 | 1 | |a Nagami, Yasuaki |e verfasserin |4 aut | |
| 700 | 1 | |a Watanabe, Toshio |e verfasserin |4 aut | |
| 700 | 1 | |a Fujiwara, Yasuhiro |e verfasserin |4 aut | |
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