CASE REPORT article
Front. Oncol.
Sec. Gastrointestinal Cancers: Gastric and Esophageal Cancers
Volume 15 - 2025 | doi: 10.3389/fonc.2025.1571265
A patient with recurrent pelvic bone metastasis after gastric cancer surgery achieved long-term survival: a case report
Provisionally accepted
- Dongyang Hospital of Wenzhou Medical University, Dongyang, China
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Introduction: After gastric cancer surgery, solitary bone metastasis is very rare, and repeated pelvic metastasis has not been reported. This article reports a case of recurrent pelvic metastasis after early gastric cancer surgery, in which the patient achieved long-term survival through multiple aggressive surgeries, radiation therapy, and systemic treatment.Case Presentation: This article reports on a 67-year-old male who presented with "6 days of black stools and 2 days of fatigue." Gastric endoscopy biopsy indicated gastric cancer, and after completing preoperative examinations, he underwent surgical treatment. The patient experienced recurrent pelvic metastases after gastric cancer surgery and underwent multiple surgeries, combined with radiotherapy and chemotherapy. In the end, he achieved long-term survival of 56 months.For gastric cancer patients with isolated bone metastases, active surgery in combination with other treatment options can be taken. With the goal of reducing symptoms, improvement in quality of life and survival can be achieved.
Keywords: gastric cancer, metastasis, Pelvic, Survival, case report SREs, skeletal-related events, MMR, mismatch repair, dMMR, mismatch repair-deficient, MSI, microsatellite instability
Received: 05 Feb 2025; Accepted: 09 Jul 2025.
Copyright: © 2025 Wang, Hu and Wang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Yan Wang, Dongyang Hospital of Wenzhou Medical University, Dongyang, China
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