title: [Bone marrow infiltration as an early sign of gastric cancer].
abstract: The symptomatic infiltration to bone marrow by gastric carcinoma is an extremely infrequent condition even so as an early manifestation. Very few reports exist in the worldwide literature about it. In this paper we report a case of a 47 years woman who was attended in our Institute because of the presence of thrombocytopenia, anaemia, fever involuntary weight loss and linfadenopathy, and also dyspepsia. Through her diagnostic evaluation the diagnosis of an occult gastric cancer was established. The aim of this report is to present the clinical, radiological and pathological characteristics of this unusual presentation of gastric cancer; and also we present a brief literature review of the cases that had been reported and their clinical implication.
authors.affiliation: Departamento de Gastroenterología, Instituto Nacional de Ciencias Medicas y Nutrición Salvador Zubirán, DF México. guerrerogallo@yahoo.com
authors.forename: Ignacio
authors.initials: I
authors.lastname: Guerrero-Hernández
authors.forename: Jorge
authors.initials: J
authors.lastname: Hernández-Calleros
authors.forename: Mariana
authors.initials: M
authors.lastname: Weimersheimer-Sandoval
authors.forename: Aldo
authors.initials: A
authors.lastname: Montaño-Loza
mesh_terms: D000230:Adenocarcinoma / Q000473:pathology / Q000556:secondary*; D019046:Bone Marrow Neoplasms / Q000473:pathology / Q000556:secondary*; D005260:Female; D006801:Humans; D008875:Middle Aged; D013274:Stomach Neoplasms / Q000473:pathology*