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위의 간양 선암종 1 예
Hepatoid Adenocarcinoma of the Stomach - A Case of Report -
전재범(Jae Bum Jun),안종훈(Jong Hoon Ahn),임병성(Byoung Sung Lim),이종철(Jong Chul Rhee),함준수(Joon Soo Hahm),이동후(Dong Hoo Lee),기춘석(Choon Suck Kee),박경남(Kung Nam Park),김용일(Yong Il Kim),장세진(Se Jin Jang),홍은경(Eun Kyung Hong),박문향(Moon Hyang Park)
UCI I410-ECN-0102-2009-510-004690429

Alpha-fetoprotein (AFP) is well-known as a useful tumor marker, especially for hepatocellular carcinoma and yolk sac tumors, and there are many kinds of neoplasms that produce AFP, with gastric adenocarcinoma being the most common. In 1970, Bourreille et al. reported the first case of stomach cancer with an elevated AFP level. In 1985, Ishikura et al. reported that an AFP-producing gastric adenocarcinoma had features of hepatic differentiation and proposed that such gastric carcinomas should be collectively called "Hepatoid Adenocarcinomas of the Stomach". We experienced a case of so-called hepatoid adenocarcinoma of the stomach in a 54-year-old male patient, who was diagnosed as double primary cancer of gastric adenocarcinoma and hepatoma and who underwent a subtotal gastrectomy and right lobectomy of the liver. We report this case with a review of the literature.

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