A Case of Gastric Undifferentiated Carcinoma with Choriocarcinomatous and Hepatoid Carcinomatous Differentiation / 대한소화기내시경학회지
Korean Journal of Gastrointestinal Endoscopy
; : 355-359, 2010.
Article
em Ko
| WPRIM
| ID: wpr-18224
Biblioteca responsável:
WPRO
ABSTRACT
Here we report a case of a patient with gastric undifferentiated carcinoma associated with choriocarcinomatous and hepatoid carcinomatous differentiation. A 62-year-old man was referred after a healthcare screening gastroscopy. Gastroscopy revealed an approximately 3x3 cm ulcerofungating mass in the posterior wall of the antrum. Biopsy results revealed a moderately differentiated adenocarcinoma. The initial serum alpha-FP levels were above 350 ng/mL. An abdominal CT scan revealed focal wall thickening along the greater curvature of the gastric antrum, with perigastric fat invasion and enlarged multiple perigastric lymph nodes. He underwent a palliative radical subtotal gastrectomy and gastroduodenostomy with dissection of the enlarged lymph nodes. Postsurgical histological examination revealed an undifferentiated carcinoma associated with choriocarcinomatous and hepatoid carcinomatous differentiation. Immunohistochemical staining revealed that the tumor cells were positive for human chorionic gonadotropin (hCG), alpha-FP, and anti-hepatocyte antibody.
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Texto completo:
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Base de dados:
WPRIM
Assunto principal:
Antro Pilórico
/
Biópsia
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Carcinoma
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Adenocarcinoma
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Coriocarcinoma
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Programas de Rastreamento
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Gastroscopia
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Atenção à Saúde
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Gastrectomia
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Gonadotropina Coriônica
Tipo de estudo:
Screening_studies
Limite:
Female
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Humans
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Pregnancy
Idioma:
Ko
Ano de publicação:
2010
Tipo de documento:
Article