ABSTRACT

Gastric carcinoma is one of the most common types of cancer worldwide. Although intra-abdominal metastasis is common, bone marrow metastasis (BMM) is quite rare, and patients with this condition may present with cytopenia. We present the case of a patient with gastric carcinoma and BMM who experienced bone marrow suppression and bicytopenia (anemia and thrombocytopenia) regressing after two cycles of chemotherapy. A 58-year-old male patient with advanced-stage gastric adenocarcinoma presented with bicytopenia. BMM was confirmed by bone marrow aspiration biopsy. Bone marrow suppression regressed after initiation of chemotherapy. BMMs are rare in gastric carcinoma, and there is no standard treatment for these malignancies. Our case report is remarkable as it demonstrates a rare case of bone marrow suppression following chemotherapy in a patient and suggests the potential efficacy of 5-FU and platinum-based chemotherapy.