| ID | 62781 |
| JaLCDOI | |
| FullText URL | |
| Author |
Ino, Riku
Department of Internal Medicine, Kochi Prefectural Hata-Kenmin Hospital
Sada, Ken-ei
Department of Internal Medicine, Kochi Prefectural Hata-Kenmin Hospital
Miyauchi, Atsushi
Department of Internal Medicine, Kochi Prefectural Hata-Kenmin Hospital
Hashimoto, Daisuke
Department of Internal Medicine, Kochi Prefectural Hata-Kenmin Hospital
Nojima, Shigeru
Department of Internal Medicine, Kochi Prefectural Hata-Kenmin Hospital
Yamanaka, Shingo
Department of Internal Medicine, Kochi Prefectural Hata-Kenmin Hospital
Kawamura, Masafumi
Department of Internal Medicine, Kochi Prefectural Hata-Kenmin Hospital
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| Abstract | A 77-year-old woman with no history of malignancy presented with anorexia and bilateral lower extremity weakness. Her consciousness level worsened daily, so we performed a lumbar puncture. Cerebrospinal fluid (CSF) analysis indicated meningitis, but three rounds of CSF cytology showed no malignant cells. The patient’s carcinoembryonic antigen (CEA) level was highly elevated in CSF, but normal in serum. Through gadolinium-enhanced brain/spinal magnetic resonance imaging and gastrointestinal endoscopy, she was diagnosed with leptomeningeal carcinomatosis (LC) from gastric cancer. CEA level in CSF facilitated the diagnosis of LC from gastric cancer because there were no malignant cells on CSF cytology.
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| Keywords | leptomeningeal carcinomatosis
gastric cancer
carcinoembryonic antigen
cerebrospinal fluid cytology
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| Amo Type | Case Report
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| Publication Title |
Acta Medica Okayama
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| Published Date | 2021-10
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| Volume | volume75
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| Issue | issue5
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| Publisher | Okayama University Medical School
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| Start Page | 659
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| End Page | 661
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| ISSN | 0386-300X
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| NCID | AA00508441
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| Content Type |
Journal Article
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| language |
English
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| Copyright Holders | CopyrightⒸ 2021 by Okayama University Medical School
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| File Version | publisher
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| Refereed |
True
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| NAID |
