Gone to Guts: Osteosarcoma With Metastasis to Small and Large Intestines Presenting as Recurrent Bleeding

Author:

Harne Prateek S.1,Salooja Ishita2,Thomas Percy3,Rivera Arturo Suplee4,Cardenas Carlos3,Zamir Asif3

Affiliation:

1. University of Texas Health Science Center, Houston, TX

2. University College of Medical Sciences, New Delhi, India

3. Doctor's Hospital at Renaissance, Edinburg, TX

4. Baylor Scott & White, Dallas, TX

Abstract

ABSTRACT Gastrointestinal involvement in osteosarcoma is uncommon, with colonic spread being particularly rare. Symptoms range from abdominal pain and obstruction to anemia and melena. Chemotherapy for metastatic lesions has not been standardized, and surgery remains the treatment for selective candidates. We describe a rare occurrence of osteosarcoma metastasizing simultaneously to the small and large intestines in a 43-year-old man who presented with recurrent gastrointestinal bleeding causing symptomatic anemia. Endoscopic examination revealed multiple nodules in the jejunum and colon consistent with metastatic osteosarcoma.

Publisher

Ovid Technologies (Wolters Kluwer Health)

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