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- Yoshikawa-Kimura Akie
- Department of Gastroenterology, Osaka City University Graduate School of Medicine, Japan
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- Taira Koichi
- Department of Gastroenterology, Osaka City University Graduate School of Medicine, Japan
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- Katanosaka Yuki
- Department of Gastroenterology, Osaka City University Graduate School of Medicine, Japan
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- Nakata Akinobu
- Department of Gastroenterology, Osaka City University Graduate School of Medicine, Japan
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- Nadatani Yuji
- Department of Gastroenterology, Osaka City University Graduate School of Medicine, Japan
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- Fukunaga Shusei
- Department of Gastroenterology, Osaka City University Graduate School of Medicine, Japan
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- Otani Koji
- Department of Gastroenterology, Osaka City University Graduate School of Medicine, Japan
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- Hosomi Shuhei
- Department of Gastroenterology, Osaka City University Graduate School of Medicine, Japan
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- Tanaka Fumio
- Department of Gastroenterology, Osaka City University Graduate School of Medicine, Japan
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- Kamata Noriko
- Department of Gastroenterology, Osaka City University Graduate School of Medicine, Japan
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- Nagami Yasuaki
- Department of Gastroenterology, Osaka City University Graduate School of Medicine, Japan
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- Watanabe Toshio
- Department of Gastroenterology, Osaka City University Graduate School of Medicine, Japan
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- Fujiwara Yasuhiro
- Department of Gastroenterology, Osaka City University Graduate School of Medicine, Japan
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抄録
<p>We report a rare case of clival metastasis from gastric cancer. A 73-year-old man with advanced gastric cancer treated with nivolumab as a third-line chemotherapy experienced headache, tongue deviation, and difficulties in speaking clearly. We suspected stroke or brain metastasis, but brain contrast-enhanced magnetic resonance imaging demonstrated a clival mass, diagnosed as clival metastasis from gastric cancer. The tumor could not be identified by plain computed tomography and plain magnetic resonance imaging alone. He received palliative radiotherapy (30 Gy/10 fr); his symptoms improved gradually. Although metastasis from gastric cancer to other organs is common, bone metastases are rare. </p>
収録刊行物
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- Internal Medicine
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Internal Medicine 59 (24), 3161-3164, 2020-12-15
一般社団法人 日本内科学会