Case Report

A Rare Initial Presentation of Gastric Cancer with Multiple Osteolytic Lesions

Figure 3

(a) Metastasis to the lumbar spine. Histologic sections of a core biopsy of the L3 vertebral body demonstrate near complete marrow replacement by a proliferation of malignant cells with associated fibrosis ((a), 10x). (b) Metastasis to the lumbar spine. On high power (40x), the infiltrate is comprised of signet ring cells morphologically identical to the gastric cardia biopsy (see Figure 4(b)).