{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,27]],"date-time":"2026-04-27T17:47:09Z","timestamp":1777312029853,"version":"3.51.4"},"reference-count":60,"publisher":"Hamad bin Khalifa University Press (HBKU Press)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022]]},"abstract":"<jats:p>Background: Back pain is a rare initial presentation of gastric cancer. Isolated back pain with red flags in middle-aged patients might indicate multiple myeloma. However, it is rarely present in advanced gastric adenocarcinoma; hence, data are limited to case reports only. For a timely diagnosis of the underlying malignancy, endoscopy should be considered if the initial workup for this backache is unrevealing.<\/jats:p>\n                  <jats:p>Case Presentation: We present a 34-year-old previously healthy gentleman with severe unremitting backache. He was ultimately diagnosed with gastric adenocarcinoma stage IV and received palliative treatment. The manuscript also reviewed relevant literature.<\/jats:p>\n                  <jats:p>Conclusion: In rare cases, gastric malignancy can initially present as back pain with lytic bone lesions, mimicking multiple myeloma. Endoscopy early in the course of investigations may help reduce associated morbidities. Further, more extensive studies are required to understand better the clinical characteristics, demographics, and management of such patients.<\/jats:p>","DOI":"10.5339\/qmj.2022.53","type":"journal-article","created":{"date-parts":[[2022,11,20]],"date-time":"2022-11-20T03:30:46Z","timestamp":1668915046000},"source":"Crossref","is-referenced-by-count":1,"title":["Back pain as an initial feature of advanced gastric cancer mimicking multiple myeloma: A case report and literature review"],"prefix":"10.5339","volume":"2022","author":[{"given":"Fateen","family":"Ata","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, Hamad General Hospital, Hamad Medical Corporation, Doha, Qatar. Email & ORCID ID: FAta@hamad.qa & https:\/\/orcid.org\/0000-0001-7121-8574"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zohaib","family":"Yousaf","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Hamad General Hospital, Hamad Medical Corporation, Doha, Qatar. Email & ORCID ID: FAta@hamad.qa & https:\/\/orcid.org\/0000-0001-7121-8574"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bilal N.","family":"Al Kalaji","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Hamad General Hospital, Hamad Medical Corporation, Doha, Qatar. Email & ORCID ID: FAta@hamad.qa & https:\/\/orcid.org\/0000-0001-7121-8574"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anas A.","family":"Ashour","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Hamad General Hospital, Hamad Medical Corporation, Doha, Qatar. Email & ORCID ID: FAta@hamad.qa & https:\/\/orcid.org\/0000-0001-7121-8574"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohamad","family":"Fael","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Hamad General Hospital, Hamad Medical Corporation, Doha, Qatar. Email & ORCID ID: FAta@hamad.qa & https:\/\/orcid.org\/0000-0001-7121-8574"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gi","family":"Eun Kim","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Hamad General Hospital, Hamad Medical Corporation, Doha, Qatar. Email & ORCID ID: FAta@hamad.qa & https:\/\/orcid.org\/0000-0001-7121-8574"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ammara","family":"Bint I Bilal","sequence":"additional","affiliation":[{"name":"Department of Radiology, Hamad General Hospital, Hamad Medical Corporation, Doha, Qatar"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Orwa","family":"Elaiwy","sequence":"additional","affiliation":[{"name":"Department of Pathology, Hamad General Hospital, Hamad Medical Corporation, Doha, Qatar"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Akhnuwkh","family":"Jones","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Hamad General Hospital, Hamad Medical Corporation, Doha, Qatar. Email & ORCID ID: FAta@hamad.qa & https:\/\/orcid.org\/0000-0001-7121-8574"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3277","reference":[{"issue":"(1):","key":"CIT0001","series-title":"Prz Gastroenterol","first-page":"26\u201338","article-title":"Epidemiology of gastric cancer: global trends, risk factors and prevention","volume":"14","author":"Rawla\n \nP\n,","year":"2019;"},{"issue":"(13):","key":"CIT0002","series-title":"Asian Pac J Cancer Prev","first-page":"5385\u20138","article-title":"Presentation and Outcomes of Gastric Cancer at a University Teaching Hospital in Nepal","volume":"16","author":"Sah\n \nJK\n,","year":"2015;"},{"issue":"(3):","key":"CIT0003","series-title":"Semin Oncol Nurs","first-page":"225\u201336","article-title":"Pathobiology and Diagnosis of Multiple Myeloma","volume":"33","author":"Brigle\n \nK\n,","year":"2017;"},{"issue":"(5 Pt 2):","key":"CIT0004","series-title":"Gan To Kagaku Ryoho","first-page":"1717\u201322","article-title":"[Clinicopathological study of gastric cancer with bone metastasis]","volume":"14","author":"Nishidoi\n \nH\n,","year":"1987;"},{"issue":"(3):","key":"CIT0005","series-title":"Gastric Cancer","first-page":"362\u20139","article-title":"Bone recurrence after curative resection of gastric cancer","volume":"16","author":"Park\n \nJM\n,","year":"2013;"},{"key":"CIT0006","series-title":"Pan African Medical Journal","first-page":"28","article-title":"Bone metastasis as the first sign of gastric cancer","author":"Ameur\n \nWB\n,","year":"2017;"},{"issue":"(10):","key":"CIT0007","series-title":"Australasian Medical Journal","first-page":"515\u20139","article-title":"Compressive myeloradiculopathy from bony metastasis as the initial presentation of poorly differentiated adenocarcinoma stomach - 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