RT Journal Article SR Electronic(1) A1 Ata, Fateen A1 Yousaf, Zohaib A1 Al Kalaji, Bilal N. A1 Ashour, Anas A. A1 Fael, Mohamad A1 Eun Kim, Gi A1 Bint I Bilal, Ammara A1 Elaiwy, Orwa A1 Jones, AkhnuwkhYR 2022 T1 Back pain as an initial feature of advanced gastric cancer mimicking multiple myeloma: A case report and literature review JF Qatar Medical Journal, VO 2022 IS 4 OP SP 53 DO https://doi.org/10.5339/qmj.2022.53 PB Hamad bin Khalifa University Press (HBKU Press), SN 2227-0426, AB 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. 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. 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., UL https://www.qscience.com/content/journals/10.5339/qmj.2022.53