A Case of Bone Marrow Recurrence from Gastric Carcinoma after a Nine-year Disease-free Interval

作者: N. Noda , T. Sano , K. Shirao , H. Ono , H. Katai

DOI: 10.1093/OXFORDJOURNALS.JJCO.A023267

关键词: Internal medicineBone marrowDistant Lymph NodeMetastasisPrimary tumorCancerMedicineDisseminated intravascular coagulationGastrectomySurgeryGastroenterologySignet ring cell carcinoma

摘要: We present a case of very late and unusual recurrence gastric cancer. Nine years following total gastrectomy for carcinoma, 57-year-old man presented with disseminated intravascular coagulation associated bone marrow recurrence. The primary tumor was signet ring cell carcinoma invading the subserosal layer lymph node metastasis. patient treated sequential administration methotrexate 5-fluorouracil went into remission. After treatment, he survived 10 months. Autopsy revealed diffuse infiltration distant metastasis cells. (Jpn J Clin Oncol 26: 472-475, 1996)

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