{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T15:48:13Z","timestamp":1777477693505,"version":"3.51.4"},"reference-count":17,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2007,12,26]],"date-time":"2007-12-26T00:00:00Z","timestamp":1198627200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clin Appl Thromb Hemost"],"published-print":{"date-parts":[[2008,10]]},"abstract":"<jats:p>A 28-year-old housewife, a life-long nonsmoker, presented with 3 weeks of pleuritic chest pain along with swollen right leg, left arm, and left breast. Six months previously she had left subclavian vein thrombosis. On admission, bilateral supraclavicular lymphedema on right leg and left arm and breast was observed and bilateral pleural fluid, chylous exudates, was detected. Abdomen computed tomography revealed abundant ascites and right ovarian enlargement. Whole body bone scintigraphy showed bone metastases on left humerus, right femur, and pelvis. Bronchial biopsy, obtained from edematous, hyperemic-irregular mucosa, revealed a carcinoma composed of signet-ring cells with intracytoplasmic mucin. Breast biopsy also showed signet-ring cells within the lymphatics. Pleural fluid cytology showed similar malignant cells. The patient was diagnosed as gastric signet-ring cell adenocarcinoma with endobronchial, mammary, ovarian, pleural, pericardial, peritoneal, and osteal metastases. The authors recommend that deep-vein thrombosis in unusual sites deserves further evaluation for an occult malignancy.<\/jats:p>","DOI":"10.1177\/1076029607309181","type":"journal-article","created":{"date-parts":[[2008,2,8]],"date-time":"2008-02-08T20:53:50Z","timestamp":1202504030000},"page":"476-480","source":"Crossref","is-referenced-by-count":11,"title":["Gastric Signet-Ring Cell Adenocarcinoma Presenting With Left Arm Deep-Vein Thrombosis and Bilateral Chylothorax"],"prefix":"10.1177","volume":"14","author":[{"given":"Oya","family":"Kayacan","sequence":"first","affiliation":[{"name":"Department of Chest Diseases, Ankara University School of Medicine, Ankara, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Demet","family":"Karnak","sequence":"additional","affiliation":[{"name":"Department of Chest Diseases, Ankara University School of Medicine, Ankara, Turkey, .edu.tr"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Berna","family":"Ay\u015fe Can","sequence":"additional","affiliation":[{"name":"Department of Chest Diseases, Ankara University School of Medicine, Ankara, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Serpil","family":"Dizbay Sak","sequence":"additional","affiliation":[{"name":"Department of Pathology, Ankara University School of Medicine, Ankara, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sumru","family":"Beder","sequence":"additional","affiliation":[{"name":"Department of Chest Diseases, Ankara University School of Medicine, Ankara, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2007,12,26]]},"reference":[{"key":"atypb1","doi-asserted-by":"publisher","DOI":"10.1136\/pgmj.2003.008052"},{"key":"atypb2","unstructured":"Winterbauer RH Nonmalignant pleural effusions. Chylothorax . In: Fishman AP, ed. Fishman's Pulmonary Diseases and Disorders. 3rd ed. New York, NY: McGraw-Hill; 1998:1423-1424."},{"key":"atypb3","unstructured":"Berek JS, Dembo A., Ozols RF Ovarian Cancer. In: Holland JF, Frei M III, Bast RC, Kufe DW, Morton DL , Weichselbaumm RR, eds. 3rd ed. Philadelphia, PA: Lea & Febiger; 1993:1659-1690."},{"key":"atypb4","doi-asserted-by":"publisher","DOI":"10.1016\/j.ygyno.2003.12.039"},{"key":"atypb5","doi-asserted-by":"publisher","DOI":"10.1055\/s-2007-1023267"},{"key":"atypb6","doi-asserted-by":"publisher","DOI":"10.1007\/BF02469686"},{"key":"atypb7","doi-asserted-by":"publisher","DOI":"10.1007\/s101470300012"},{"key":"atypb8","doi-asserted-by":"crossref","first-page":"1293","DOI":"10.1159\/000334024","volume":"40","author":"Domanski HA","year":"1996","journal-title":"Acta Cytol"},{"key":"atypb9","doi-asserted-by":"publisher","DOI":"10.1177\/030089169307900617"},{"key":"atypb10","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1096-9098(199811)69:3<147::AID-JSO5>3.0.CO;2-H"},{"key":"atypb11","first-page":"713","volume":"18","author":"Liam CK","year":"1989","journal-title":"Ann Acad Med Singapore"},{"key":"atypb12","doi-asserted-by":"publisher","DOI":"10.1007\/BF00163572"},{"key":"atypb13","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.1988.00380100127029"},{"key":"atypb14","doi-asserted-by":"publisher","DOI":"10.1046\/j.1440-1843.1999.00156.x"},{"key":"atypb15","first-page":"1013","volume":"194","author":"Martinez Maragon E.","year":"1994","journal-title":"Rev Clin Esp"},{"key":"atypb16","doi-asserted-by":"publisher","DOI":"10.1182\/blood.V62.1.14.14"},{"key":"atypb17","doi-asserted-by":"publisher","DOI":"10.1177\/1358836X9800300209"}],"container-title":["Clinical and Applied Thrombosis\/Hemostasis"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1076029607309181","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1076029607309181","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T13:59:27Z","timestamp":1777384767000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1076029607309181"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2007,12,26]]},"references-count":17,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2008,10]]}},"alternative-id":["10.1177\/1076029607309181"],"URL":"https:\/\/doi.org\/10.1177\/1076029607309181","relation":{},"ISSN":["1076-0296","1938-2723"],"issn-type":[{"value":"1076-0296","type":"print"},{"value":"1938-2723","type":"electronic"}],"subject":[],"published":{"date-parts":[[2007,12,26]]}}}