@article{oai:dmu.repo.nii.ac.jp:00000681,
 author = {藤井, 陽一朗 and 小嶋, 和夫 and 内園, まり子 and 西福, 康之 and 人見, 玄洋 and 真島, 雄一 and 室久, 俊光 and 平石, 秀幸 and Fujii, Yoichiro and Kojima, Kazuo and Uchizono, Mariko and Saifuku, Yasuyuki and Hitomi, Genyo and Majima, Yuichi and Murohisa, Toshimitsu and Hiraishi, Hideyuki},
 issue = {2},
 journal = {Dokkyo journal of medical sciences},
 month = {Jul},
 note = {症例は65歳の男性.腰痛を主訴に受診.血清ALP上昇,貧血および血小板数の低下を認めた.画像検査上は溶骨性骨転移の所見は認めなかったが,上部消化管内視鏡検査にてGroupV (Signet ring cell carcinoma)の病理診断であった.胃癌の骨転移も否定できずに大学病院に転院となった.転院後の骨シンチグラムにて全身骨に著明な取り込み亢進(beautiful bone scan)を認め,骨髄穿刺検査にて腫瘍細胞の浸潤を認めたことより,胃癌の播種性骨髄癌症と診断した.胃癌の播種性骨髄癌症は比較的稀であるため,文献的考察を加え報告する., The patient was a 65-year-old male with a chief complaint of lower back pain. Blood tests revealed elevated serum ALP, anemia, and decreased platelet count. Upper GI endoscopy revealed lesions in the incisura angularis, which were diagnosed as GroupV gastric carcinoma (signet ring cell carcinoma). Metastasis of gastric carcinoma was suspected, so the patient was transferred to this hospital. Bone scintigraphy revealed marked systemic uptake (super scan) and bone marrow aspiration revealed infiltration of tumor cells, so the patient was diagnosed with gastric carcinoma with disseminated carcinomatosis of bone marrow., 症例報告, Case Report},
 pages = {113--120},
 title = {骨シンチグラムにてbeautiful bone scanを呈した胃癌の播種性骨髄癌症の1例},
 volume = {35},
 year = {2008},
 yomi = {フジイ, ヨウイチロウ and コジマ, カズオ and ウチゾノ, マリコ and サイフク, ヤスユキ and ヒトミ, ゲンヨウ and マジマ, ユウイチ and ムロヒサ, トシミツ and ヒライシ, ヒデユキ}
}