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KMID : 0374019940170020141
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Ewha Medical Journal
1994 Volume.17 No. 2 p.141 ~ p.148
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A Case of Hematologic Complications in Gastric Adenocarcinoma
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정혜경
김희진/이선영/최진혁/이순남/이홍수/정화순/한운섭
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Abstract
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Among the hematologic complications of solid tumors, leukoerythroblastosis, DIC and MAHA have been known to be clinically significant. Accordin to the recent increasing incidence of cancer, these hematologic complications have been reported
frequently.
However, the simutaneous development of such manifestations is rare. Recently, we have experienced a patient with gastric adenocarcinoma in which case severe bleeding tendency were observed and laboratory studies including bone marrow examination
demonstrated the findings of leukoerythroblastosis, DIC and MAHA. She died of upper gastrointestinal bleeding despite the supportive care such as blood transfusions. We should give attention to the findings of peripheral blood smear for the
patient
with
malignancy and it is mandatory for therapeutic plan to perform bone marrow examination if the above mentioned hemorrhagic complications are suspected.
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KEYWORD
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