위의 간세포양 샘암종의 간전이 1예
A case of liver metastasis of gastric hepatoid adenocarcinoma
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초록
간세포양 샘암종은 주로 알파태아단백을 생성하고 흔하게 발견되지는 않지만 진행암 상태로 많이 발견되며 림프절과 간으로 전이를 잘 하여 예후가 나쁜 특징을 보인다. 저자들은 다발성 간전이를 동반한 Borrmann III형의 진행성 간세포양 위샘암종을 위와 간병변의 조직검사 및 면역조직화학염색을 통해 진단한 사례를 경험하였기에 보고하는 바이다.
Abstract
We report herein a case of hepatoid adenocarcinoma of the stomach with liver metastasis. Gastric carcinoma generally presents as adenocarcinoma and rarely shows a hepatoid pattern, which can produce alpha- fetoprotein (AFP). The stomach is one of the common sites at which hepatoid adenocarcinoma has been detected. A 75-year-old female patient was admitted to the hospital with a symptom of epigastric discomfort. Gastrofibroscopy revealed a large tumor occupying the greater curvature of the stomach body. The level of serum AFP was markedly increased. Abdominal computed tomography revealed multiple liver masses. Biopsy samples of the gastric lesion and liver masses finally confirmed her case as hepatoid adenocarcinoma in the stomach with liver metastasis. The AFP-producing gastric carcinoma needs special attention because it often presents with early liver metastasis and has a poor prognosis.
참고문헌 (15)
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