Increase in muscle mass secondary to metastasis of an unknown gastric adenocarcinoma

Abstract

Objective To present a case of rare manifestation of metastases as multiple muscular masses. Clinical case A 52 year old male with gastric ulcer as the only history of interest went to traumatology service referring to progressive pain in the left buttock with associated mass effect when walking. Results Imaging tests detected a multiple muscle mass. The biopsies showed signet ring gastric adenocarcinoma metastases. Conclusion The insidious presentation of muscular symptoms in the absence of traumatic injury, should be suspected and the possibility of a tumour assessed.