2
22. 4. 2015.
Gastric cancer with bone marrow invasion presenting as severe thrombocytopenia.
Fifty-two-year-old man presented with back pain beginning a month before coming to a hospital. Patient lost five kilograms. Para-vertebral musculature of the lower back was tense, and percussion over the lumbar spine has provoked severe pain. Laboratory tests revealed a moderate anemia and severe thrombocytopenia (hemoglobin 87 g/L, platelets 31 x 109/L). Alkaline phosphatase and C-reactive protein were elevated (708 U/L and 134.3 mg/L; respectively).