Hepatoid adenocarcinoma of the stomach.: A case report

被引：5
|
作者：
Jalle, T
Gérard, C
Lada, PE
Sagan, C
Gournay, J
Arnaud, JP
Paineau, J
Hamy, A
机构：
[1] CHU Angers, Serv Chirurg Gen Digest & Endocrinienne, F-49933 Angers 09, France
[2] CHR Nord, Unite Hepatol, F-44093 Angers, France
[3] CHR Nord, Lab Anat Pathol, F-44093 St Herblain, France
来源：
ANNALES DE CHIRURGIE | 2006年 / 131卷 / 03期
关键词：
gastric cancer; hepatoid adenocarcinoma; alphafoetoprotein;
D O I：
10.1016/j.anchir.2005.08.003
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
Hepatoid adenocarcinoma of the stomach is a very rare tumor with a poor prognosis. Lymph nodes involvement and/or liver metastases are frequently observed. Diagnosis should be pointed out if elevated serum level of alpha-fetoprotein (AFP) is detected with gastric tumor. Histologically, the tumor is an adenocarcinoma of intestinal type including foci of hepatoid differenciation. Immunohistochemistry is positive for alpha-1-antitrypsin and alpha-1-antichymotripsin, and for AFP. We report a case of a 66 year-old man presenting an advanced stage of hepatoid adenocarcinoma of the stomach, treated by gastrectomy followed by chemotherapy. The patient died four months after the surgery because of progressing liver metastatic disease. (c) 2005 Elsevier SAS. Tons droits reserves.
引用
收藏
页码：213 / 215
页数：3
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