Yoshida Kenta, Oyama Takao, Takahata Takenori, Kudo Sae, Sato Yuki, Saito Taro, Mikami Takafumi, Itabashi Chieko, Soma Yasushi, Fukuda Shinsaku
Department of Gastrointestinal Medicine and Internal Medicine Kuroishi General Hospital Kuroishi Japan.
Department of Gastroenterology and Hematology Hirosaki University Graduate School of Medicine Hirosaki Japan.
Clin Case Rep. 2021 Jan 18;9(3):1483-1489. doi: 10.1002/ccr3.3810. eCollection 2021 Mar.
A 66-year-old man presented with worsening dyspnea. A colonoscopy revealed an elevated lesion at the rectosigmoid junction. The biopsy specimen and bone marrow aspiration demonstrated adenocarcinoma, leading to a diagnosis of disseminated carcinomatosis of the bone marrow. Because chemotherapy proved effective, he survived until 333 days after admission.
一名66岁男性因呼吸困难加重前来就诊。结肠镜检查显示直肠乙状结肠交界处有一隆起性病变。活检标本及骨髓穿刺显示为腺癌,诊断为骨髓播散性癌病。由于化疗证明有效,他存活至入院后333天。