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ID 62781
JaLCDOI
フルテキストURL
75_5_659.pdf 2.69 MB
著者
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
抄録
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.
キーワード
leptomeningeal carcinomatosis
gastric cancer
carcinoembryonic antigen
cerebrospinal fluid cytology
Amo Type
Case Report
出版物タイトル
Acta Medica Okayama
発行日
2021-10
75巻
5号
出版者
Okayama University Medical School
開始ページ
659
終了ページ
661
ISSN
0386-300X
NCID
AA00508441
資料タイプ
学術雑誌論文
言語
英語
著作権者
CopyrightⒸ 2021 by Okayama University Medical School
論文のバージョン
publisher
査読
有り
PubMed ID
Web of Science KeyUT
NAID