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ID 52320
Sort Key
6
Title Alternative
Metastatic breast cancer presenting as severe anemia, platelet reduction and abnormal cells in peripheral blood
FullText URL
Thumnail 126_31.pdf 9.47 MB
Author
Ota, Seisuke
Kasahara, Akinori
Mizuno, Shoma
Fukatsu, Haruka
Kinoshita, Osamu
Noguchi, Toshio
Kishimoto, Nobuyasu
Matsumura, Tadashi
Abstract
 Worldwide, breast cancer accounts for 22.9% of all cancers excluding non-melanoma skin cancers in women. More than 80% of breast cancer cases are discovered when a woman discovers a lump that feels different from the rest of the breast tissue. We report the case of a 60-year-old woman who had been treated for one year at a psychiatric hospital for suspected schizophrenia, and was referred to our hospital on March 23, 2011 for consultation regarding complete blood count abnormalities: hemoglobin, 4.8g/㎗ ; Plt, 1.9×104/μl ; WBC, 12,700/μl with 18.5% abnormal cells. Computed tomography revealed an enhanced, irregular mass in her right breast as well as right axillary lymph node swelling, suggestive of breast cancer. BM biopsy confirmed the presence of abnormal, keratin-positive cells, suggesting metastasis to the bone. CA15-3 was 300U/㎖ (normal range <25). The patient died on April 11, 2011, post-admission day 20. We found a rare case of terminal breast cancer that presented with peripheral blood abnormality. Breast cancer in patients who do not notice breast abnormality can present with peripheral blood abnormality.
Keywords
乳癌(breast cancer)
初発症状(initial symptom)
貧血(anemia)
骨髄転移(bone marrow metastasis)
Note
症例報告 (Case Reports)
Publication Title
岡山医学会雑誌
Published Date
2014-04-01
Volume
volume126
Issue
issue1
Publisher
岡山医学会
Publisher Alternative
Okayama Medical Association
Start Page
31
End Page
34
ISSN
0030-1558
NCID
AN00032489
Content Type
Journal Article
Related Url
http://www.okayama-u.ac.jp/user/oma/
OAI-PMH Set
岡山大学
language
日本語
Copyright Holders
Copyright (c) 2014 岡山医学会
File Version
publisher
Refereed
True
DOI
Eprints Journal Name
joma
References
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