A Case of Isolated Leptomeningeal Carcinomatosis from Advanced Gastric Cancer / 대한소화기학회지
The Korean Journal of Gastroenterology
;
: 93-98, 2016.
Article
in Korean
| WPRIM
| ID: wpr-45545
ABSTRACT
Leptomeningeal carcinomatosis (LMC) is rare metastatic form of gastric cancer. Most cases are diagnosed in the final stage after multiple distant metastasis. An 84-year-old woman was admitted with melena, headache and vomiting. Esophagogastro-duodenoscopy showed an ulceroinfiltrating lesion at the stomach (Borrmann class III), and biopsy revealed a signet ring cell carcinoma. The abdominal-pelvic CT showed no evidence of metastasis. A sudden decrease of consciousness was noted, but the brain CT showed no active lesion while the brain MRI revealed enhancement of leptomeninges. A lumbar puncture was performed and the cerebrospinal fluid study revealed malignant neoplastic cells. With family consent, no further evaluation and treatment were administered and she died six weeks after the diagnosis of gastric cancer. We report an extremely rare case of a patient who initially presented with neurologic symptoms, and was diagnosed LMC from advanced gastric cancer without any evidence of metastasis in abdomen and pelvis.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Pelvis
/
Spinal Puncture
/
Stomach
/
Stomach Neoplasms
/
Vomiting
/
Biopsy
/
Brain
/
Magnetic Resonance Imaging
/
Cerebrospinal Fluid
/
Melena
Type of study:
Diagnostic study
Limits:
Aged
/
Aged80
/
Female
/
Humans
Language:
Korean
Journal:
The Korean Journal of Gastroenterology
Year:
2016
Type:
Article
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