Although gastric cancer is a frequent cancer type, disseminated intravascular coagulation is a very rare but serious complication of this disease. We report a 65-year-old man who complained of weight loss, nausea and vomiting, fatigue and dyspnoea for three days. He was diagnosed as having advanced gastric cancer (AGC) complicated with disseminated intravascular coagulation (DIC), which was successfully treated with mFOLFOX chemotherapy regimen. After one cycle of mFOLFOX therapy, thrombocytopenia was improved and serum lactate dehydrogenase (LDH) levels decreased. Remarkable remission was seen after 12 cycles of chemotherapy in the primary tumour and multiple metastatic bone lesions.
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