Abstract
The case involved a 62-year-old woman who underwent distal gastrectomy for gastric cancer at the age of 52. She had been free from recurrence until December 2009, when she noticed right shoulder pain and general fatigue. Then, she was referred to our hospital by a nearby doctor because laboratory data showed marked elevation of serum alkaline phosphatase and coagulopathy. Bone scintigraphy showed “super bone scan”. Blood examination showed findings of DIC. We diagnosed the case with disseminated carcinomatosis of the bone marrow (DCBM) as postoperative recurrence of gastric cancer. MTX/5-FU sequential therapy was unsuccessful. She developed acute subdural hemorrhage and died at the 31st hospital day. An autopsy revealed DCBM of gastric cancer. The autopsy cases of DCBM after long postoperative survival period are rare. We report an autopsy case of DCBM, together with a review of the previous autopsy cases in the literature.
