Multiple Bone Metasis and Disseminated Carcinomatosis of Bone Marrow with Hematologic Disorders from Gastric Cancer

Keimyung Medical Journal 2012;31(1):146-150.

다수의 뼈전이와 파종성 골수전이에 따른 혈액장애를 동반한 위암

조성우; 이승주; 정익주; 장석현; 이지영; 장혜정; 조도연

Abstract

Gastric cancer is second most common cancers and third leading cause of cancer death in Korea. Bone metastasis from gastric cancer occurs rarely and it has a poor prognosis. Bone metastasis diffusely invading the bone marrow with hematologic disorders such as disseminated intravascular coagulation (DIC); microangiopathic hemolytic anemia is called disseminated carcinomatosis of the bone marrow and its overall incidence is rare. Here is a case of gastric cancer with multiple bone metastasis and hematologic disorder. Positron emission tomographycomputed tomography (PET-CT) and whole body bone scan shows disseminated bone metastasis. A biopsy of bone marrow shows infiltration by cancer cells.

Key Words: Bone metastasis, Gastric cancer, Hematologic disorder