Widespread hematogenous metastases and Trousseau's syndrome in gastric adenocarcinoma
| Autor: | Santos Vitorino Modesto dos, Rodrigues Denise Bertulucci Rocha, Castro Eumênia Costa da Cunha, Saldanha João Carlos, Soares Sheila, Teixeira Vicente de Paula Antunes, Reis Marlene Antônia dos |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2001 |
| Předmět: | |
| Zdroj: | Revista do Hospital das Clínicas, Vol 56, Iss 3, Pp 91-96 (2001) |
| ISSN: | 1678-9903 0041-8781 |
| Popis: | 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). |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|