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Title: 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
Other Titles: Prostate Cancer with Disseminated Carcinomatosis of Bone Marrow Initially Presenting with Disseminated Intravascular Coagulation Syndrome : A Case Report
Authors: 湊, のり子  KAKEN_name
高田, 剛  KAKEN_name
古賀, 実  KAKEN_name
菅尾, 英木  KAKEN_name
Author's alias: Minato, Noriko
Takada, Tsuyoshi
Koga, Minoru
Sugao, Hideki
Keywords: Prostate cancer
Disseminated carcinomatosis of bone marrow
Issue Date: May-2012
Publisher: 泌尿器科紀要刊行会
Journal title: 泌尿器科紀要
Volume: 58
Issue: 5
Start page: 249
End page: 253
Abstract: 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.
Rights: 許諾条件により本文は2013-06-01に公開
PubMed ID: 22767279
Appears in Collections: Vol.58 No.5

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