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  1. Dokkyo Medical Journal
  2. 2(4) 2023

An Autopsy Case of Disseminated Carcinomatosis of the Bone Marrow Caused by Early Gastric Cancer

https://dmu.repo.nii.ac.jp/records/2000181
https://dmu.repo.nii.ac.jp/records/2000181
e1aae710-fd9e-4fe1-a980-d1f90538229d
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DKMJ-2-4-8.pdf DKMJ-2-4-8.pdf (823 KB)
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Item type 学術雑誌論文 / Journal Article(1)
タイトル
タイトル An Autopsy Case of Disseminated Carcinomatosis of the Bone Marrow Caused by Early Gastric Cancer
言語 en
言語
言語 eng
キーワード
言語 en
主題Scheme Other
主題 disseminated carcinomatosis of the bone marrow,
キーワード
言語 en
主題Scheme Other
主題 early gastric cancer
キーワード
言語 en
主題Scheme Other
主題 signet-ring cell carcinoma
キーワード
言語 en
主題Scheme Other
主題 autopsy
キーワード
言語 en
主題Scheme Other
主題 hyperphosphatasemia
資源タイプ
資源タイプ識別子 http://purl.org/coar/resource_type/c_6501
資源タイプ journal article
アクセス権
アクセス権 open access
アクセス権URI http://purl.org/coar/access_right/c_abf2
著者 Sato, Taiki

× Sato, Taiki

en Sato, Taiki

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Sato, Yoko

× Sato, Yoko

en Sato, Yoko

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Akashi, Keiko

× Akashi, Keiko

en Akashi, Keiko

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Shiina, Manayu

× Shiina, Manayu

en Shiina, Manayu

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Matsushima, Jun

× Matsushima, Jun

en Matsushima, Jun

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Fujii, Akiko

× Fujii, Akiko

en Fujii, Akiko

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Ban, Shinichi

× Ban, Shinichi

en Ban, Shinichi

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書誌情報 en : Dokkyo Medical Journal

巻 2, 号 4, p. 310-314, 発行日 2023-12-25
記事種別
値 Case Report
内容記述
内容記述タイプ Abstract
内容記述 A 57-year-old male with low back pain and hyperphosphatasemia was diagnosed as disseminated carcinomatosis of the bone marrow (DCBM) originating from cancer of unknown primary. Although an iliac bone marrow biopsy showed cancer metastasis, gastrointestinal endoscopy, imaging studies, tumor markers tests, and immunohistochemistry of the biopsy material failed to identify the primary tumor. Five courses of carboplatin and paclitaxel (CBDCA/PTX) therapy and two courses of gemcitabine (GEM) therapy were performed for cancer of unknown primary, but there was no therapeutic effect, and the patient died after the treatment during about 7 months. Autopsy revealed signet-ring cell carcinoma of the stomach, which was an early cancer limited to the small part of the antrum. Tumor size was 5 millimeters, the depth of submucosal invasion was about 500 micrometers, and neither vascular nor lymphatic infiltration was found. Reportedly, the most common primary tumor of DCBM is gastric cancer, most of which are advanced cancers. However, as in the present case, early cancer could be the cause. Besides, DCBM is known to develop long after surgery. Thus, the gastric cancer patients, especially when histological subtype is poorly differentiated adenocarcinoma or signet-ring cell carcinoma, should be followed up with reference to serum ALP and FDP, considering the rare occurrence of DCBM.
言語 en
出版者
出版者 Dokkyo Medical Society
ISSN
収録物識別子タイプ EISSN
収録物識別子 2436-522X
書誌レコードID
収録物識別子タイプ NCID
収録物識別子 AA12941861
DOI
関連タイプ isIdenticalTo
識別子タイプ DOI
関連識別子 https://doi.org/10.51040/dkmj.2023-009
出版タイプ
出版タイプ VoR
出版タイプResource http://purl.org/coar/version/c_970fb48d4fbd8a85
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