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  • Title: Bone marrow metastasis as first recurrence of gastric cancer: a case report.
    Author: Ahmed N, Li X, Rathmann J.
    Journal: Conn Med; 2011; 75(10):599-602. PubMed ID: 22216674.
    Abstract:
    We report a case of a 71-year-old male with resected stage IIIA signet ring cell adenocarcinoma of the stomach treated with adjuvant chemo-radiation therapy who presented with metastatic disease confined to the bone marrow. Pancytopenia was the sole presentation of metastasis and bone marrow was the only site of tumor recurrence. There were no documented bone lesions. The tumor was extremely aggressive and the patient expired seventeen days after diagnosis of tumor recurrence.
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