Malignant Pleural Effusion and Osteoblastic Metastases as the Initial Manifestation of Occult Gastric Cancer :

• Shimizu Yuji

  Department of Respiratory Medicine, National Hospital Organization Takasaki General Medical Center

• Kurosawa Koji

  Department of Medicine and Biological Science, Gunma University Graduate School of Medicine

• Ueno Manabu

  Department of Medicine and Biological Science, Gunma University Graduate School of Medicine

• Nakagawa Junichi

  Department of Medicine and Biological Science, Gunma University Graduate School of Medicine

• Maeno Toshitaka

  Department of Medicine and Biological Science, Gunma University Graduate School of Medicine

• Suga Tatsuo

  Department of Medicine and Biological Science, Gunma University Graduate School of Medicine

• Motegi Mitsuru

  Department of Respiratory Medicine, National Hospital Organization Takasaki General Medical Center

• Kanesawa Norio

  Department of Respiratory Medicine, National Hospital Organization Takasaki General Medical Center

• Kurabayashi Masahiko

  Department of Medicine and Biological Science, Gunma University Graduate School of Medicine

書誌事項

タイトル別名

• Malignant Pleural Effusion and Osteoblastic Metastases as the Initial Manifestation of Occult Gastric Cancer : A Case Report
• A Case Report

抄録

A 53-year-old man was admitted to our hospital because of lumbago. Gastrointestinal endoscopic examination performed on admission did not reveal any gross gastric abnormalities. Lumbar radiography and bone scintigraphy revealed multiple bone osteoblastic changes. Chest radiography showed right pleural effusion. The findings of the chest computed tomography and cytological examination of the pleural effusion were strongly suggestive of lung cancer. The patient was refractory to chemotherapy, and he died of cancer and disseminated intravascular coagulation. The autopsy revealed absence of primary lung cancer and the presence of tumor emboli in the right lung field. Swollen perigastric lymph nodes, tiny signet-ring cell carcinoma at the posterior wall of the stomach corpus, and severe vascular invasion were also observed at autopsy.<BR> Therefore, signet ring cell carcinoma of the stomach should be considered as a possible diagnosis in early-stage gastric cancer patients who develop osteoblastic metastasis and pleural effusion.

収録刊行物

• 北関東医学

  北関東医学 61 (4), 515-518, 2011

  北関東医学会

キーワード

• Signet-ring cell carcinoma
• Gastric cancer
• Osteoblastic bone metastasis
• Pleural effusion

詳細情報

• CRID: 1390001206341207168
• NII論文ID: 130001435163
• NII書誌ID: AN10585677
• DOI: 10.2974/kmj.61.515
• ISSN: 18811191
• ISSN: 13432826
• HANDLE: 10087/6549
• NDL書誌ID: 023350257
• Web Site: https://gunma-u.repo.nii.ac.jp/records/7362
• Web Site: http://id.ndl.go.jp/bib/023350257
• Web Site: https://ndlsearch.ndl.go.jp/books/R000000004-I023350257
• Web Site: https://search.jamas.or.jp/link/ui/2012260121
• 本文言語コード: en
• データソース種別:
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  • IRDB
  • NDL
  • Crossref
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可