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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2007.12
- 수록면
- 507 - 510 (4page)
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We report a case of primary gastric choriocarcinoma with liver metastasis and transverse colon invasion. A 51-year-old man presented with sudden syncope, and a gastroscopic biopsy showed gastric adenocarcinoma with recent bleeding. A palliative subtotal gastrectomy and segmental resection of the transverse colon was done, and formal histopathologic findings proved the tumor to be a choriocarcinoma with poorly differentiated adenocarcinoma. Choriocarcinoma is characterized by biphasic histologic patterns composed of syncytiotrophoblasts, cytotrophoblasts, and positive immunostaining for cytoplasmic hCG, as well as an increased serum hCG levels. This unusual tumor probably resulted from dedifferentiation of a primary adenocarcinoma. Therefore, in the case of a poorly differentiated adenocarcinoma of the stomach, meticulous examination to detect trophoblastic differentiation on tissue sections and evaluation of serum hCG should be made. This tumor is rapidly invasive and resistant to multiple chemotherapies.
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REFERENCES
참고문헌 (15)
참고문헌 신청
1. [학술지(정기간행물)] - Kim H / 1999 / A case of primary gastric choriocarcinoma diagnosed by endoscopic biopsy / Korean J Gastrointest Endosc 19 : 995 ~ 963
2. [학술지(정기간행물)] - Zhi L / 2001 / Primary gastric choriocarcinoma, a case report and review of the literature / Arch Pathol Lab Med 125 : 2 ~ 2001
3. [학술지(정기간행물)] - 이상원 / 2005 / 샘암과 동반된 위의 원발성 융모상피암 1예 / 대한내과학회지 68 (1) : 83 ~ 88
4. [학술지(정기간행물)] - Seung-Hyun Nam / 2002 / A Case of Primary Gastric Choriocarcinoma Presenting with Amenorrhea / Cancer Research and Treatment 34 (6) : 457 ~ 460
5. [학술지(정기간행물)] - Jindark K / 1976 / Primary gastric choriocarcinoma case report with review of world literature / Hum Pathol 7 : 595 ~ 604
2. [학술지(정기간행물)] - Zhi L / 2001 / Primary gastric choriocarcinoma, a case report and review of the literature / Arch Pathol Lab Med 125 : 2 ~ 2001
3. [학술지(정기간행물)] - 이상원 / 2005 / 샘암과 동반된 위의 원발성 융모상피암 1예 / 대한내과학회지 68 (1) : 83 ~ 88
4. [학술지(정기간행물)] - Seung-Hyun Nam / 2002 / A Case of Primary Gastric Choriocarcinoma Presenting with Amenorrhea / Cancer Research and Treatment 34 (6) : 457 ~ 460
5. [학술지(정기간행물)] - Jindark K / 1976 / Primary gastric choriocarcinoma case report with review of world literature / Hum Pathol 7 : 595 ~ 604
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UCI(KEPA) : I410-ECN-0101-2013-514-002682944