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

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

Research output: Contribution to journalArticle

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 hack 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.

Original languageEnglish
Pages (from-to)193-195
Number of pages3
JournalAnnali Italiani di Chirurgia
Volume84
Issue number2
Publication statusPublished - 2013

Keywords

  • Low back pain
  • Oesophageal adenocarcinoma
  • Skeletal muscle metastasis

ASJC Scopus subject areas

  • Surgery

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    Leuzzi, G., Cesario, A., Margaritora, S., Parisi, A. M., Porziella, V., Meacci, E., Vita, M. L., Congedo, M. T., Chiappetta, M., & Granone, P. (2013). A case of oesophageal cancer with low back pain: The accidental finding of skeletal muscle metastasis. Annali Italiani di Chirurgia, 84(2), 193-195.