Malignant pleural effusion and osteoblastic metastases as the initial manifestation of occult gastric cancer : a case report

フォーマット:

論文

責任表示:

Shimizu, Yuji ; Kurosawa, Koji ; Ueno, Manabu ; Nakagawa, Junichi ; Maeno, Toshitaka ; Suga, Tatsuo ; Motegi, Mitsuru ; Kanesawa, Norio ; Kurabayashi, Masahiko

言語:

日本語

出版情報:

北関東医学会, 2011-11-01

著者名:

Shimizu, Yuji

Kurosawa, Koji

Ueno, Manabu

Nakagawa, Junichi

Maeno, Toshitaka

Suga, Tatsuo

Motegi, Mitsuru

Kanesawa, Norio

Kurabayashi, Masahiko

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掲載情報:

The Kitakanto medical journal = 北関東医学

ISSN:

1343-2826    

巻:

61

通号:

4

開始ページ:

515

終了ページ:

518

バージョン:

VoR

概要:

Journal Article<br />A 53-year-old man was admitted to our hospital because of lumbago. Gastrointestinal endoscopic\nexamination performed on admission did not reveal any gross gastric abnormalities. Lumbar radiogra-\nphy and bone scintigraphy revealed multiple bone osteoblastic changes. Chest radiography showed\nright pleural effusion. The findings ofthe chest computed tomography and cytological examination of\nthe pleur al effusion were strongly … suggestive of lung cancer. The patient was refr actory to chemotherapy,\nand he died of cancer and disseminated intravascular coagulation. The autopsy revealed absence of\nprimary lung cancer and the presence of tumor emboli in the right lung fi eld. Swollen perigastric lymph\nnodes, tiny signet-ring cell carcinoma at the posterior wal1 of the stomach corpus, and severe vascular\ninvasion were also observed at autopsy.\n Therefore, signet ring cell carcinoma ofthe stomach should be considered as a possible diagnosis in\nearly-stage gastric cancer patients who develop osteoblastic metastasis and pleural effusion. 続きを見る