A case of oesophageal cancer with low back pain: the accidental finding of skeletal muscle metastasis

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Giovanni Leuzzi
Alfredo Cesario
Stefano Margaritora
Anna Mariantonia Parisi
Venanzio Porziella
Elisa Meacci
Maria Letizia Vita
Maria Teresa Congedo
Marco Chiappetta
Pierluigi Granone

Abstract

Skeletal muscle metastasis is a very rare event in patients with oesophageal cancer. We herein report and discuss a case of a 65 years old man with history of gastro-esophageal reflux disease referred to our department for pyrosis associated to persistent low back pain. Oesophageal endoscopy and transesophageal endo-sonography showed a tumour localized in the lower third of the esophagus, histologically proved to be adenocarcinoma. Clinical staging procedures detected a two centimetres vascularized nodular lesion placed into right para-vertebral muscles at the level of L4 as the only sign of potential distant disease (versus a differential diagnosis of primitive sarcoma). The muscle lesion was completely removed and confirmed as secondary adenocarcinoma. Due to this evidence a chemotherapy protocol was initiated. After nine months the patient underwent transhiatal oesophagectomy.


To the best of our knowledge this is the first reported case of a soft tissue metastasis from oesophageal cancer resected with radical intent

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How to Cite
Leuzzi, Giovanni, et al. “A Case of Oesophageal Cancer With Low Back Pain: The Accidental Finding of Skeletal Muscle Metastasis”. Annali Italiani Di Chirurgia, vol. 84, no. 2, Mar. 2013, pp. 193-5, https://annaliitalianidichirurgia.it/index.php/aic/article/view/1899.
Section
Case Report