A 63-year-old male with no relevant past medical history.
She presented with a nodular lesion in the right dorsolumbar quadrant of one month of evolution and rapid growth, associated with asthenia and anorexia for three months, with weight loss of 10 kg.
Physical examination revealed only mild hepatomegaly.
At the right dorsolumbar level, a 5x3 cm nodular lesion was observed. The lesion was flat, non-adherent to deep tissue but produced pain at the friction and mobilization.
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Analytically, only a urea of 74 mg/dl stood out, with creatinine of 1.93 mg/dl and GGT 83 IU/L with normal AST/PTG.
A chest X-ray showed a left diaphragm elevation and aortic elongation, with no other findings.
Biopsy of the skin lesion was performed with pathological diagnosis of metastasis of adenocarcinoma.
A CT scan suggestive of adenocarcinoma of the liver in the pelvis showed thickening of the esophagogastric junction, with left gastric lymph nodes >1cm in diameter and metastasis
Gastroscopy showed a lesion compatible with cardia neoplasm.
Biopsy revealed adenocarcinoma.
Diagnosis of gastric adenocarcinoma metastasizes to the patient began chemotherapy treatment (70mg/m2 every 21 days) and 5-fluorouracil continuous infusion of 48 hours weekly (3 gr/m2, days 1.8,15).
This scheme is one of the first-line agents in this tumor and is included in the guidelines of the Spanish group for the treatment of tumors of the digestive tract (TTD).
After the second cycle she presented significant toxicity with febrile neutropenia.
He developed septic shock and died in this context.
