A Case of Rectal Cancer with Disseminated Intravascular Coagulation Successfully Treated with Emergent Chemotherapy

Tatsushi Saito, Hideaki Karasawa, Yuri Hatsuzawa, Minoru Kobayashi, Taiki Kajiwara, Hideyuki Suzuki, Atsushi Kohyama, Kazuhiro Watanabe, Takashi Kamei, Shinobu Ohnuma, Michiaki Unno

研究成果: Article査読

抄録

A 70's woman complaining blood stool and lower abdominal pain visited a local doctor and was given the diagnosis of rectal cancer by colonoscopy. CT, MRI, and bone scintigraphy revealed multiple lymph node and bone metastasis and peritoneal dissemination. She had developed disseminated intravascular coagulation(DIC)during hospitalization, and the cause was considered to be disseminated carcinomatosis of the bone marrow. Thus, we emergently started chemotherapy with mFOLFOX6, in conjunction with anticoagulation therapy, and the DIC was resolved 11 days after the introduction. Partial response was achieved and the chemotherapy has been continued after 5 months from the onset of the DIC. Since the prognosis of solid tumor patients who developed DIC has been reported to be extremely poor, prompt introduction of chemotherapy should be considered.

本文言語English
ページ(範囲)1625-1627
ページ数3
ジャーナルGan to kagaku ryoho. Cancer & chemotherapy
48
13
出版ステータスPublished - 2021 12月 1

ASJC Scopus subject areas

  • 医学(全般)

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