Abstract
Background: Bone metastasis is an uncommon event in metastatic gastric cancer patients and rarely detected as isolated lesions. A case featuring unusual skeletal metastasis of gastric cancer is presented. Case Report: A 60-year-old man presented with metastasis in the lumber vertebra one and half years after surgery (distal radical gastrectomy for gastric carcinoma). The histopathology of primary tumor was poorly differentiated adenocarcinoma. Patient had received five cycles of adjuvant chemotherapy (Paclitaxel + Carboplatin) before he presented with lumber vertebra metastasis with a seven-month disease free period. Discussion: The metastatic path of gastric cancer cells is generally haematogenous. Higher incidence of bone metastasis occurs in the axial skeleton. Prognosis of patients exhibiting bone metastases from Gastric cancer is worse compared with other solid tumors. Conclusion: Skeletal metastasis is an uncommon event in advanced metastatic Gastric cancer though not rare. The clinician must screen the patient for skeletal lesions right from the time of initial diagnosis. Keywords: Gastric Cancer; Metastasis
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