Intestinal Metastasis of Osteosarcoma Presenting with Intussusception: A Case Report
유성호, 김민아, 박규주, 한준구, 이상훈, 김종재, 함의근,
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유성호 ( Yoo Seong-Ho )
서울대학교 의과대학 병리학교실
김민아 ( Kim Min-A )
서울대학교 의과대학 병리학교실
박규주 ( Park Kyu-Joo )
서울대학교 의과대학 외과학교실
한준구 ( Han Joon-Koo )
서울대학교 의과대학 영상의학과
이상훈 ( Lee Sang-Hoon )
서울대학교 의과대학 정형외과학교실
김종재 ( Kim Jong-Jae )
서울대학교 의과대학 병리학교실
함의근 ( Ham Ui-Geun )
서울대학교 의과대학 병리학교실
KMID : 0357920020360040271
Abstract
Metastatic osteosarcoma most commonly affects the lungs and other bones. Intestinal intussusception caused by metastatic osteosarcoma is very rare. We report a case of metastatic osteosarcoma of the intestine in a 39-year-old female. She underwent surgical resection of the left femur due to osteosarcoma and received additional chemotherapy 3 years ago. Pulmonary metastasis was found two years later and the patient complained of abdominal pain, nausea and vomiting after 8 months following excision of the lung nodules. Abdominal computed tomography revealed intussusception with a suspected polypoid mass in the distal portion of the jejunum. The histologic findings of the resected bowel were those of osteosarcoma. This is the first case of documented intestinal metastasis of osteosarcoma in Korea. It is suggested that the tumor metastasis to the small intestine should be considered in patients with previous osteosarcoma, when the patient presents with acute abdominal symptoms and intussusception.
키워드
Osteosarcoma;Neoplasm Metastasis;Intussusception
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