case_images: PMC3977155_01
case_images: Peripheral blood smear with evidence of intravascular hemolysis.
case_images: hr-2014-1-5159-g001.jpg
case_images: PMC3977155_01_hr-2014-1-5159-g001.jpg
case_images: fig001
case_images: A peripheral blood smear contained schistocytes and spherocytes, suggesting hemolysis, and also showed leukoerythroblastosis, with polychromasia, nucleated red blood cells, and immature granulocytes (Figure 1).
case_images: Bone marrow biopsy with focal infiltration of adenocarcinoma.
case_images: hr-2014-1-5159-g002.jpg
case_images: PMC3977155_01_hr-2014-1-5159-g002.jpg
case_images: fig002
case_images: A bone marrow biopsy revealed poorly differentiated signet ring adenocarcinoma, raising concern for a metastatic gastric cancer (Figure 2).
case_images: Wright's stain of bone marrow biopsy demonstrating signet ring cells.
case_images: hr-2014-1-5159-g003.jpg
case_images: PMC3977155_01_hr-2014-1-5159-g003.jpg
case_images: fig003
case_images: Biopsy revealed signet ring adenocarcinoma that was histologically similar to both bone marrow and gastric polyp findings, with strong estrogen receptor positivity (Figure 3).