The Korean Journal of Medicine

The Korean Association of Internal Medicine (대한내과학회)
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A Case of Triple Early Gastric Cancer with Bone Marrow Metastasis

골수 전이를 동반한 삼중 조기위암 1예

  • Kim, Hye Jin (Department of Internal Medicine, Chungnam National University College of Medicine) ;
  • Kim, Beom Hee (Department of Internal Medicine, Chungnam National University College of Medicine) ;
  • Yoon, Beom Yong (Department of Internal Medicine, Chungnam National University College of Medicine) ;
  • Tak, Dae Hyun (Department of Internal Medicine, Chungnam National University College of Medicine) ;
  • Moon, Hee Seok (Department of Internal Medicine, Chungnam National University College of Medicine) ;
  • Sung, Jae Kyu (Department of Internal Medicine, Chungnam National University College of Medicine) ;
  • Jeong, Hyun Yong (Department of Internal Medicine, Chungnam National University College of Medicine)
  • 김혜진 (충남대학교 의과대학 내과학교실) ;
  • 김범희 (충남대학교 의과대학 내과학교실) ;
  • 윤범용 (충남대학교 의과대학 내과학교실) ;
  • 탁대현 (충남대학교 의과대학 내과학교실) ;
  • 문희석 (충남대학교 의과대학 내과학교실) ;
  • 성재규 (충남대학교 의과대학 내과학교실) ;
  • 정현용 (충남대학교 의과대학 내과학교실)
  • Published : 2013.01.01
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Abstract

The clinical outcome of early gastric cancer (EGC) has gradually been improving, and the 5-year survival rate for patients with EGC has been reported to exceed 85% in most studies. However, in some rare cases, EGC is associated with distant metastasis. Bone metastases from stomach cancer are usually osteolytic lesions. Although there have been a few reports of EGC with bone marrow metastasis, cases of triple EGC with bone marrow metastasis are rare. We report a 50-year-old male patient who was diagnosed with triple EGC with bone marrow metastasis. This case can be considered to be rare because the patient had no spread of the disease to other organs.

최근 조기위암의 발견 빈도가 높아지고 치료 성적 또한 향상되어 현재 조기위암의 5년 생존율은 85% 이상으로 보고되고 있다. 그러나 조기위암으로 진단되었어도 림프절전이나 기타 타 장기로의 원격전이 가능성을 반드시 고려하여 야 한다. 조기위암에서 원격전이는 대개 복막, 국소 림프절, 그리고 간에 주로 일어나며 골 전이는 매우 드물다. 최근 저자들은 삼중의 조기위암의 형태를 가진 반지세포암이 골수전이를 동반한 50세 남자 환자를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

Keywords

References

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