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KMID : 0948920200190010054
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Clinical Pain
2020 Volume.19 No. 1 p.54 ~ p.58
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Acute Onset Hip Pain after Excessive Walking Diagnosed with Skeletal Muscle Metastasis
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Choi Jae-Hyeong
Kim Kun-Woo
Hwang Jin-Tae
Suh Jin-Woo
Lee Yong-Taek
Yoon Kyung-Jae
Do Jong-Geol
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Abstract
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Skeletal muscle metastasis of gastric cancer is extremely rare and is associated with various symptoms. Here, we report on a 60-year-old woman with right hip pain after excessive walking. Two years earlier, the patient had been treated for advanced gastric cancer (surgery, adjuvant chemotherapy). Upon magnetic resonance imaging, diffuse muscle swelling and high signal intensity were observed in T2-weighted images of the right hip muscle. However, the FDG uptake in the right gluteal muscles was not obviously increased. Pathological examination of muscle biopsy revealed metastatic adenocarcinoma of stomach origin. The patient was treated with chemotherapy, and the swelling and pain in the right hip are progressively improving.
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KEYWORD
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Neoplasm metastasis, Stomach neoplasm, Hip
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