title: Pancytopenia and isolated bone marrow recurrence in a case of previously resected gastric carcinoma: a rare finding.
abstract: Recurrences in resected cases of gastric carcinomas are well known. However isolated involvement of bone marrow is a rare presentation. We present a previously treated case of gastric carcinoma-signet-ring cell type who had a progressive shortness of breath since 1 month. A hemogram done at this occasion showed pancytopenia and leucoerythroblastic picture. Bone marrow examination revealed infiltration by signet-ring cells. All such patients who presents with unexplained pancytopenia should prompt us to suspect a bone marrow recurrence.
authors.affiliation: Department of Haematology, Postgraduate Institute of Medical Education & Research, Level 5, Research Block A, Sector 12, Chandigarh, 160012 India.
authors.forename: Tushar
authors.initials: T
authors.lastname: Sehgal
authors.affiliation: Department of Haematology, Postgraduate Institute of Medical Education & Research, Level 5, Research Block A, Sector 12, Chandigarh, 160012 India.
authors.forename: Narender
authors.initials: N
authors.lastname: Kumar
authors.affiliation: Department of Haematology, Postgraduate Institute of Medical Education & Research, Level 5, Research Block A, Sector 12, Chandigarh, 160012 India.
authors.forename: Pulkit
authors.initials: P
authors.lastname: Rastogi
authors.affiliation: Department of Radiotherapy, Postgraduate Institute of Medical Education & Research, Sector 12, Chandigarh, 160012 India.
authors.forename: Rakesh
authors.initials: R
authors.lastname: Kapoor
keywords: Bone marrow; Gastric carcinoma; Pancytopenia; Recurrence; Signet-ring cells