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Japanese Journal of Clinical Oncology 31:165-167 (2001)
© 2001 Foundation for Promotion of Cancer Research

Intestinal Metastasis Causing Intussusception in a Patient Treated for Osteosarcoma with History of Multiple Metastases: a Case Report

Giun-Yi Hung1, Tzeon-Jye Chiou2, Yuh-Lin Hsieh1, Muh-Hwa Yang2 and Winby York-Kwan Chen3,+

1Department of Pediatrics, 2Section of Medical Oncology, Department of Medicine and 3Department of Pathology, Taipei Veterans General Hospital and School of Medicine, National Yang-Ming University, Taipei, Taiwan

Intestinal intussusception caused by metastatic tumors is a very rare condition. Preoperative diagnosis is not easy because of the condition’s rarity and because of mild abdominal physical presentation. We report on a patient with osteosarcoma who suffered from abdominal pain and emesis during the period of autologous peripheral blood stem cell transplantation. He had undergone tumor excision and radiotherapy several times prior to autologous peripheral blood stem cell transplantation because of multiple metastases. Intestinal metastasis was suspected initially by computed tomographic scan and sonogram and was proved by surgical resection and pathological findings. Clinicians caring for pediatric patients with osteosarcoma with a history of multiple metastases should consider the possibility of intestinal metastases when equivocal abdominal symptoms develop after intensive chemotherapy.

+ For reprints and all correspondence: Tzeon-Jye Chiou, Section of Medical Oncology, Department of Medicine, Taipei Veterans General Hospital, 201 Shih-Pai Road, Section 2, Taipei 112, Taiwan. E-mail: tjchiou@vghtpe.gov.tw


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