title: Primarily unknown origin adenocarcinoma metastasis in bone marrow presenting with thrombotic thrombocytopenic purpura: a case report.
abstract: We report a case of thrombotic thrombocytopenic purpura refractory to plasma exchange treatment. In bone marrow examination non hematopoetic cell groups have seen. But the primary tumor could neither be located endoscopically nor in imaging examinations. Upon the bone marrow biopsy confirm the adenocarcinoma metastasis an objective improvement have achived in the blood picture after polychemotherapy.
authors.affiliation: Inonu University, Faculty of Medicine, Department of Hematology, Malatya, Turkey. Electronic address: koroglu200@yahoo.com.
authors.forename: Mustafa
authors.initials: M
authors.lastname: Koroglu
authors.forename: Mehmet Ali
authors.initials: MA
authors.lastname: Erkurt
authors.forename: Ilhami
authors.initials: I
authors.lastname: Berber
authors.forename: Irfan
authors.initials: I
authors.lastname: Kuku
authors.forename: Emin
authors.initials: E
authors.lastname: Kaya
authors.forename: Adnan
authors.initials: A
authors.lastname: Ozkahraman
authors.forename: Nasuhi Engin
authors.initials: NE
authors.lastname: Aydin
mesh_terms: D000230:Adenocarcinoma / Q000188:drug therapy / Q000473:pathology*; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000008:administration & dosage; D019046:Bone Marrow Neoplasms / Q000188:drug therapy / Q000473:pathology* / Q000556:secondary*; D005260:Female; D006801:Humans; D008875:Middle Aged; D009362:Neoplasm Metastasis; D011697:Purpura, Thrombotic Thrombocytopenic / Q000188:drug therapy / Q000473:pathology*
keywords: Plasmapheresis; Primarily unknown carcinoma; Thrombotic thrombocytopenic purpura