title: Bilateral metastasis to the femoral head as the only manifestation of recurrence of gastric adenocarcinoma: a case report.
abstract: BACKGROUND: Metastases to the bone as the sole manifestation of recurrence of a gastric carcinoma are extremely rare. CASE REPORT: We herein report the case of a 63-year-old man operated a year and a half before for a poorly differentiated gastric carcinoma affecting the fundus, who developed bilateral metastasis to the femoral head as the sole manifestation of recurrence. He was treated with radiotherapy to control pain with a poor response and both femoral heads had to be eventually resected. CONCLUSIONS: We review the literature on the rare occurrence of osseous metastasis from gastric carcinoma and comment briefly on the therapeutic options for these cases.
authors.affiliation: Department of Surgical Pathology, Hospital General of Móstoles, Móstoles, Madrid (Spain). mgg10167@teleline.es
authors.forename: Ma Jesus
authors.initials: MJ
authors.lastname: Fernández-Aceñero
authors.forename: Teresa
authors.initials: T
authors.lastname: Aramendi Sánchez