A case of disseminated carcinomatosis of the bone marrow due to gastric cancer, confirmed by autopsy

DOI
  • Eguchi Kazuo
    Department of General Internal Medicine, Saitama Red Cross Hospital, Saitama, Japan
  • Maruta Susumu
    Hepatobiliary Pancreatic Department, Saitama Red Cross Hospital, Saitama, Japan
  • Nakajima Yukiko
    Department of Emergency Medicine, Saitama Red Cross Hospital, Saitama, Japan
  • Kamiyama Jiro
    Department of Emergency Medicine, Saitama Red Cross Hospital, Saitama, Japan
  • Sasaki Hiroki
    Department of Radiology, Saitama Red Cross Hospital, Saitama, Japan
  • Li Chih-Ping
    Department of Pathology, Saitama Red Cross Hospital, Saitama, Japan
  • Adachi Akiko
    Department of Pathology, Saitama Red Cross Hospital, Saitama, Japan
  • Koushima Youhei
    Hepatobiliary Pancreatic Department, Saitama Red Cross Hospital, Saitama, Japan

抄録

Disseminated carcinomatosis of the bone marrow was reported as diffusely infiltrative carcinoma, a phenotype of bone metastasis. In Japan, Hayashi et al. in 1979 reported disseminated carcinomatosis based on the clinical and pathological characteristics of 40 cases (Japanese article). In addition to the rarity, it is difficult to diagnose because of the poor nodularity and short survival time. Disseminated carcinomatosis of the bone marrow is a disease with poor prognosis and symptoms consisting of a triad of back pain, anemia, and bleeding tendency, along with the increase of ALP and LDH. There have been many case reports of this disease, but most of them were Japanese articles from surgical departments and few autopsy series have been reported. Here, we report a case of a patient with disseminated carcinomatosis of the bone marrow who was transferred to our hospital with fever of unknown origin (FUO) and back pain, but who died due to rapidly worsening clinical conditions. We report this case along with the result of autopsy which revealed the range and the extent of cancer invasion.

収録刊行物

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詳細情報 詳細情報について

  • CRID
    1390862931516192000
  • DOI
    10.60227/jhgmeibun.6.2_30
  • ISSN
    2436018X
  • 本文言語コード
    en
  • データソース種別
    • JaLC
  • 抄録ライセンスフラグ
    使用不可

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