Gan to kagaku ryoho. Cancer & chemotherapy · 2020
[A Case of Disseminated Carcinomatosis of the Bone Marrow with Carcinoma of the Rectum Diagnosed by Disseminated Intravascular Coagulation].
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Tanaka Hiroto, Matsutani Shinji, Iwauchi Takehiko, Uchima Yasutake, Miyamoto Hironari, Okada Takuma, Tsujio Gen, Kurihara Shigeaki, Nagashima Daisuke, Hirakawa Toshiki, Hirata Keiichiro, Morimoto Junya, Yamagata Shigeto, Takeuchi Kazuhiro
Аннотация
A 77-year-old man with rectal cancer was admitted to our hospital. After neoadjuvant chemotherapy, laparoscopic abdominoperineal resection of rectum with D3 dissection was performed. The pathological diagnosis was poorly differentiated carcinoma, pT3, N1a, M0, pStage Ⅲa. Adjuvant chemotherapy was not performed. Fifteen months after operation, his chief complaint was fatigue. Thrombocytopenia and elevation of tumor maker was detected by blood test and disseminated intravascular coagulation(DIC)was suspected. He was admitted to our hospital and we started anti DIC therapy immediately. Bone scintigraphy revealed multiple bone metastases, then we diagnosed disseminated carcinomatosis of the bone marrow. He died 10 days after hospitalization. Disseminated carcinomatosis of the bone marrow with colon cancer is rare and prognosis is very poor. It is important to diagnose and start treatment as early as possible.