DICを契機に発見された前立腺癌による播種性骨髄癌腫症の1例
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概要
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A 56-year-old man was admitted to our hospital complaining of dyspnea, general fatigue and lumbago. Several examinations revealed severe pancytopenia with disseminated intravascular coagulation (DIC), multiple lymph node metastases, and extremely high serum prostate specific antigen (PSA) level. Hormonal therapyunder a diagnosis of advanced prostate cancer was started. Bone marrow biopsy, performed for the assessment of pancytopenia, revealed that there were no hematopoietic cells but only diffuse infiltration of prostate cancer cells. His bone scintigraphyshowed a super scan image. Therefore, our diagnosis was prostate cancer with disseminated carcinomatosis of bone marrow. Although the response to hormonal therapyhad been initiallygood, the time to PSA nadir was 9 weeks and he died 34 weeks after the start of the treatment. To our knowledge, 20 cases of prostate cancer with disseminated carcinomatosis of bone marrow have been reported in the Japanese literature including this case and the clinical features are reviewed.
論文 | ランダム
- 患者主体の医療の時代 : 信頼に値する医療の確立を目指して
- 患者主体の医療の時代 : 信頼に値する医療の確立を目指して
- 小児外科の医療政策と政治圧力(特別講演, 第 37 回日本小児外科学会総会)
- 歯科医療政策の戦略提言 : 顎関節領域から :
- H221 沖縄本島北部の集落におけるミカンキジラミの発生消長(一般講演)