患者男,42岁,2008年2月行根治性远端胃大部切除术,病理诊断为胃中-低分化腺癌、部分为印戒细胞癌,T1N2M0,II期,术后行6个疗程化疗。2009年4月骨扫描证实全身多发骨转移,B超(BUS)提示可疑颈淋巴结转移。既往史、家族史无特殊。X线片示肋骨、锁骨、胸腰椎、双肩关节和骨盆未见明显骨破坏。颈椎MRI示椎体信号稍欠均匀, Male, 42 years old, in February 2008 underwent radical distal gastrectomy, the pathological diagnosis of gastric - poorly differentiated adenocarcinoma, part of signet ring cell carcinoma, T1N2M0, II, after 6 courses Chemotherapy. Bone scan in April 2009 confirmed multiple bony metastases in the body, B-BUS prompted suspicious cervical lymph node metastases. Past history, family history no special. X-ray showed ribs, clavicle, thoracolumbar spine, shoulders and pelvis showed no significant bone destruction. Cervical MRI showed a slightly less uniform signal,