Gastric choriocarcinoma admixed with an α-fetoprotein-producing adenocarcinoma and separated adenocarcinoma

被引:9
作者
Eom, Bang Wool [1 ]
Jung, So-Youn [1 ]
Yoon, Hongman [1 ]
Kook, Myeong-Cherl [1 ]
Ryu, Keun Won [1 ]
Lee, Jun Ho [1 ]
Kim, Young-Woo [1 ]
机构
[1] Natl Canc Ctr, Ctr Gastr Canc, Goyang Si 410769, Gyeonggi Do, South Korea
关键词
alpha-fetoproteins; Adenocarcinoma; Choriocarcinoma; Stomach neoplasms; CLINICOPATHOLOGICAL FEATURES; STOMACH; CANCER; CARCINOMA;
D O I
10.3748/wjg.15.5106
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
We report a case of gastric choriocarcinoma admixed with an alpha-fetoprotein (AFP)-producing adenocarcinoma. A 70-year-old man was hospitalized for gastric cancer that was detected during screening by esophagogastroduodenoscopy (EGD). Initial laboratory data showed the increased serum level of AFP and EGD revealed a 5-cm ulcerofungating mass in the greater curvature of the gastric antrum. The patient underwent radical subtotal gastrectomy with D2 lymph node dissection and Billroth 11 gastrojejunostomy. Histopathological evaluation confirmed double primary gastric cancer: gastric choriocarcinoma admixed with an AFP-producing adenocarcinoma and separated adenocarcinoma. At 2 wk postoperatively, his human chorionic gonadotropin and AFP levels had reduced and six cycles of adjuvant chemotherapy were initiated. No recurrence or distant metastasis was observed at 4 years postoperatively. (C) 2009 The WJG Press and Baishideng. All rights reserved.
引用
收藏
页码:5106 / 5108
页数:3
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