Korean J Pathol.  2002 Aug;36(4):271-273.

Intestinal Metastasis of Osteosarcoma Presenting with Intussusception: A Case Report

• Yoo SH
• Kim MA
• Park KJ
• Han JK
• Lee SH
• Kim CJ
• Ham EK

Abstract

Metastatic osteosarcoma most commonly affects the lungs and other bones. Intestinal intussusception caused by metastatic osteosarcoma is very rare. We report a case of metastatic osteosarcoma of the intestine in a 39-year-old female. She underwent surgical resection of the left femur due to osteosarcoma and received additional chemotherapy 3 years ago. Pulmonary metastasis was found two years later and the patient complained of abdominal pain, nausea and vomiting after 8 months following excision of the lung nodules. Abdominal computed tomography revealed intussusception with a suspected polypoid mass in the distal portion of the jejunum. The histologic findings of the resected bowel were those of osteosarcoma. This is the first case of documented intestinal metastasis of osteosarcoma in Korea. It is suggested that the tumor metastasis to the small intestine should be considered in patients with previous osteosarcoma, when the patient presents with acute abdominal symptoms and intussusception.

Keyword

Osteosarcoma-Neoplasm Metastasis-Intussusception

MeSH Terms

Abdominal Pain
Adult
Drug Therapy
Female
Femur
Humans
Intestine, Small
Intestines
Intussusception*
Jejunum
Korea
Lung
Nausea
Neoplasm Metastasis*
Osteosarcoma*
Vomiting