Gastrointestinal Obstruction due to Solitary Lymph Node Recurrence of Alpha-Fetoprotein-Producing Gastric Carcinoma with Enteroblastic Differentiation

Gastrointestinal Obstruction due to Solitary Lymph Node Recurrence of Alpha-Fetoprotein-Producing Gastric Carcinoma with Enteroblastic Differentiation

We report an unusual case of alpha-fetoprotein (AFP)-producing gastric carcinoma with enteroblastic differentiation. A 75-year-old woman was admitted to our hospital with occasional upper abdominal discomfort. We performed gastroscopy and observed a type 2 tumor, primarily in the pyloric region. His...

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Veröffentlicht in:Case reports in gastroenterology 2014-01, Vol.8 (1), p.1-6
Hauptverfasser: Yamabuki, Takumi, Omi, Makoto, Yonemori, Atsuya, Misu, Kenjiro, Inomata, Hitoshi, Abiko, Yukie, Mori, Michio, Nihei, Kazuyoshi
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Alpha-fetoprotein-producing gastric carcinoma
Gastrointestinal obstruction
Lymph node recurrence
Published: January 2014
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container_issue 1
container_start_page 1
container_title Case reports in gastroenterology
container_volume 8
creator Yamabuki, Takumi
Omi, Makoto
Yonemori, Atsuya
Misu, Kenjiro
Inomata, Hitoshi
Abiko, Yukie
Mori, Michio
Nihei, Kazuyoshi
description We report an unusual case of alpha-fetoprotein (AFP)-producing gastric carcinoma with enteroblastic differentiation. A 75-year-old woman was admitted to our hospital with occasional upper abdominal discomfort. We performed gastroscopy and observed a type 2 tumor, primarily in the pyloric region. Histological examination of biopsies confirmed gastric adenocarcinoma. Based on these findings, we diagnosed gastric adenocarcinoma and performed laparoscopic distal gastrectomy with lymph node dissection. Histological examination revealed an invasive lesion composed of adenocarcinoma with a tubulopapillary growth pattern. Tumor cells were cuboidal in shape with characteristically clear cytoplasm rich in glycogen. Two regional lymph node metastases were seen microscopically. Immunohistochemically these cells were positive for AFP, carcinoembryonic antigen, caudal-type homeobox transcription factor 2 and common acute lymphoblastic leukemia antigen. The final diagnosis was AFP-producing gastric carcinoma with enteroblastic differentiation. 26 months after initial surgery, the patient was readmitted to our hospital for gastrointestinal obstruction due to lymph node recurrence.
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subjects Alpha-fetoprotein-producing gastric carcinoma
Gastrointestinal obstruction
Lymph node recurrence
Published: January 2014
title Gastrointestinal Obstruction due to Solitary Lymph Node Recurrence of Alpha-Fetoprotein-Producing Gastric Carcinoma with Enteroblastic Differentiation
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