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胃肝样腺癌1例报告(英文).pdf

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文档介绍:Chinese-German Journal of Clinical Oncology May 2011, Vol. 10, No. 5, P297–P299
DOI  -011-0767-x
Hepatoid adenocarcinoma in stomach: a case report
Haifeng Luo, Hongjiang Wang, Guang Tan, Zhongyu Wang
Department of General Surgery, The First Affiliated Hospital of Dalian Medical University, Dalian 116011, China
Received: 14 December 2010 / Revised: 12 January 2011 / Accepted: 20 February 2011
© Huazhong University of Science and Technology and Springer-Verlag Berlin Heidelberg 2011
Abstract  Objective: We reported a case with AFP produced gastric hepatoid adenocarcinoma. Methods: A male patient,
77 year-old, was admitted to our hospital due to an unreasonable elevation of serum AFP. The tumors were revealed by PET-
CT, but until the tumors were removed during the surgery, we did not recognize the primary lesion was the gastric cancer.
Results: Radical distal gastrectomy was performed. The gastric lesion was confirmed by histology as a hepatic adenocar-
cinoma in its early stage. Conclusion: The rare etiology of the AFP elevation should be kept in mind in clinic, extrahepatic
lesions should be excluded.
Key words  hepatic adenocarcinoma; stomach; diagnosis; treatment
Hepatoid adenocarcinoma (HAC) is an extrahepatic pancreatic head eventually. Then the PET-CT showed a
tumor characterized by morphological similarities to SUVmax valu