Widespread hematogenous metastases and Trousseau's syndrome in gastric adenocarcinoma
Rev. Hosp. Clin. Fac. Med. Univ. Säo Paulo
; 56(3): 91-96, May-June 2001. ilus
Article
em En
| LILACS
| ID: lil-298593
Biblioteca responsável:
BR1.1
ABSTRACT
A case of widespread hematogenous metastases and Trousseau's syndrome is reported in a 40 year-old white housewife with gastric cancer, presenting subdural hematoma, ecchymoses, epistaxis, stomach and uterine bleeding. After undergoing hematoma drainage, she was unsuccessfully treated with platelets, red blood cells, plasma cryoprecipitate transfusions, and antibiotics. Necropsy disclosed gastric ring-signet adenocarcinoma invading the serous layer, with massive disseminated intravascular coagulation and systemic neoplastic embolism. Multiple old and recent hyaline (rich in fibrin and platelets) microthrombi, and tumor emboli were observed in the bone marrow, meninges, liver, lungs, kidneys, lymph nodes, adrenals, thyroid, heart, pancreas, and ovaries (Krukenberg tumor)
Texto completo:
1
Coleções:
01-internacional
Base de dados:
LILACS
Assunto principal:
Neoplasias Gástricas
/
Transtornos da Coagulação Sanguínea
/
Adenocarcinoma
/
Metástase Neoplásica
Limite:
Adult
/
Female
/
Humans
Idioma:
En
Revista:
Rev. Hosp. Clin. Fac. Med. Univ. Säo Paulo
Assunto da revista:
MEDICINA
Ano de publicação:
2001
Tipo de documento:
Article
País de afiliação:
Brasil
País de publicação:
Brasil