Annals of Case Reports and Clinical Studies (ISSN: 2834-5673) | Volume 4, Issue 1 | Clinical Image | Open Access DOI

Superscan Pattern as a Debut of Gastric Cancer

Moreira Cabrera Maricela^*

Sime Loayza Ibett1, Moreira Cabrera Maricela2*

1Department of Nuclear Medicine. Torrecárdenas University Hospital. Almería, Spain

2Department of Diagnostic Imaging, Vall d'Hebron University Hospital, Barcelona, Spain

^*Correspondence to: Moreira Cabrera Maricela 

Abstract

A 59-year-old male was admitted for generalized abdominal pain for a month, associated anemia, thrombocytopenia, and elevated alkaline phosphatase. An upper digestive endoscopy was performed, showing ulceration on the anterior face of the gastric body-antrum with characteristics of malignancy. A histopathology study of the biopsy sample revealed a high-grade poorly differentiated infiltrating tubular adenocarcinoma. Abdominal-enhanced CT images revealed multiple metastatic lesions in vertebral bodies and pelvic bones. Full body scintigraphy showed multifocal enhancement on the skeleton and absence of renal visualization (typical pattern of superscan), suggestive of bone metastatic spread [1,2]. Subsequently, a bone marrow aspiration of the sternum was performed, which confirmed metastatic infiltration of the bone marrow due to gastric neoplasia. Osteoblastic metastasis associated with gastric cancer is considered a relatively uncommon phenomenon [2].

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Citation:

Sime Loayza Ibett, Moreira Cabrera Maricela. Superscan Pattern as a Debut of Gastric Cancer. Ann Case Rep Clin Stud. 2025;4(1):1-2.