Hepatoid carcinoma of the stomach.
case_report · Level V
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- Record sourced from PubMed, PMID 7678544.
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Abstract
A patient with primary gastric carcinoma exhibiting hepatoid differentiation is described. The tumor itself was not associated with a high serum alpha-fetoprotein, but the cells stained positive for alpha-fetoprotein and alpha-1 antitrypsin. The patient underwent a total gastrectomy and wedge excision of the liver metastasis. The presence of metastatic hepatoid adenocarcinoma of the stomach should be considered in a patient who, during surgery for a primary gastric carcinoma, is found to have a liver metastasis that is diagnosed by frozen-section biopsy as a hepatoma. Because of lymph node and liver metastasis, prognosis appears to be poor for such patients.
Medical subject headings
- Adenocarcinoma
- Carcinoma, Hepatocellular
- Liver Neoplasms
- Neoplasms, Multiple Primary
- Stomach Neoplasms