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Ann Geriatr Med Res > Volume 13(1); 2009 > Article
Journal of the Korean Geriatrics Society 2009;13(1):49-52.
DOI: https://doi.org/10.4235/jkgs.2009.13.1.49    Published online March 31, 2009.
A Case of Leptomeningeal Carcinomatosis Presenting as a Neurological Complication of Stomach Cancer
Eun Young Oh, Sang Bong Lee, Seon Young Ryu, In Uk Song, Jung Hea Lee
악성 위종양의 신경학적 합병증으로 발현된 연수막암종증 1예
Abstract
Leptomeningeal carcinomatosis, an important and serious neurological complication of malignant cancers, is asso- ciated with severe disability and high mortality. It is most commonly seen in patients with breast cancer, lung cancer and malignant melanoma. However, leptomeningeal carcinomatosis induced by gastric cancer has been rarely reported, although gastric cancer is one of the most common causes of cancer-related deaths in Korea. We report a case of a 76- year-old woman with leptomeningeal carcinomatosis presenting as a neurological complication of gastric cancer and con- firmed by cytology examination of the cerebrospinal fluid and brain magnetic resonance imaging with gadolinium enhan-cement.
Key Words: Meningeal carcinomatosis, Neurological complication, Stomach neoplasms
초 록

연수막암종은 악성 종양의 매우 심한 신경학적 합병증으로서 일상생활의 기능저하를 초래하며, 높은 사망률을 보이는 질환이다. 연수막암종은 유방암, 폐암, 그리고 악성 흑색종에서 주로 보이는 합병증이다. 하지만 연수막암종은 악성 위종양의 합병증으로는 거의 보고되고 있지 않다. 하지만 본 저자들은 악성 위종양으로 진단받은 76세 여자 환자가 뇌자기공명 사진과 척수액 세포진검사로 인해 연수막암종으로 확진된 증례를 경험하였기에 보고하고자 한다.



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