Gastric hepatoid adenocarcinoma with multiple liver metastasis: a case report

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Quino Florentini Mariano; Garcia Rojas Frank; Guerra Canchari Pedro; Cerrillo Sanchez Gustavo

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Journal Paper

Paper Information

Journal: GASTROENTEROLOGY AND HEPATOLOGY FROM BED TO BENCH Year:2021 | Volume:14 | Issue:3 Page(s): 281-285

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Information Journal Paper

Title

Gastric hepatoid adenocarcinoma with multiple liver metastasis: a case report

Author(s)

Quino Florentini Mariano | Garcia Rojas Frank | Guerra Canchari Pedro | Cerrillo Sanchez Gustavo | Issue Writer Certificate

Keywords

Hepatoid adenocarcinoma

Metastases

Liver

Abstract

Hepatoid adenocarcinoma is a poorly differentiated alpha-fetoprotein-producing (AFP) tumor frequently located in the stomach, ovary, and pancreas. Presentation in the stomach has a high mortality rate due to late diagnosis, which offers the patient few therapeutic alternatives. On February 22, 2019, a 44-year-old woman from Lima entered the emergency department for pain in the right hypochondrium for 4 months, weight loss, nausea, and asthenia. On physical examination, hepatomegaly presented with a liver spam of 17 cm. Serology showed severe anemia and AFP of 49, 800. The tomography showed multiple hypodense lesions in the liver and the presence of nodes. Endoscopy showed Bormann III gastric malignancy. Gastric biopsy determined undifferentiated epithelial malignancy; the immunohistochemical mark (+) for AFP and PAS Diastase confirmed a hepatoid gastric adenocarcinoma. A rare variant of gastric adenocarcinoma was evident, which often mimics an HCC. In this case, multiple liver metastases were observed that differed from the diagnosis of HCC, so this variant must always be taken into account when a primary gastric tumor presents with hepatic metastases.

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APA: Copy

Quino Florentini, Mariano, Garcia Rojas, Frank, Guerra Canchari, Pedro, & Cerrillo Sanchez, Gustavo. (2021). Gastric hepatoid adenocarcinoma with multiple liver metastasis: a case report. GASTROENTEROLOGY AND HEPATOLOGY FROM BED TO BENCH, 14(3), 281-285. SID. https://sid.ir/paper/976428/en

Vancouver: Copy

Quino Florentini Mariano, Garcia Rojas Frank, Guerra Canchari Pedro, Cerrillo Sanchez Gustavo. Gastric hepatoid adenocarcinoma with multiple liver metastasis: a case report. GASTROENTEROLOGY AND HEPATOLOGY FROM BED TO BENCH[Internet]. 2021;14(3):281-285. Available from: https://sid.ir/paper/976428/en

IEEE: Copy

Mariano Quino Florentini, Frank Garcia Rojas, Pedro Guerra Canchari, and Gustavo Cerrillo Sanchez, “Gastric hepatoid adenocarcinoma with multiple liver metastasis: a case report,” GASTROENTEROLOGY AND HEPATOLOGY FROM BED TO BENCH, vol. 14, no. 3, pp. 281–285, 2021, [Online]. Available: https://sid.ir/paper/976428/en

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