[A case of primary gastric choriocarcinoma].
A 66-year-old man with a primary gastric choriocarcinoma is presented. The pre-operative diagnosis of the gastric barium examination and an endoscopy was an unusual gastric carcinoma in the antrum. At laparotomy, an abscess in the lesser sac that had developed by a tumoral penetrance was found. Thus a total gastrectomy and a lymphadenectomy with a reconstruction was performed. The resected specimen was found to be a Borrmann 1 type tumor, and a histological examination showed it to be a choriocarcinoma with a syncytiotrophoblast, that was immunostained by human chorionic gonadotropin (HCG). The physical findings however, disclosed no tumor in the testis. The serum HCG was found to be 1,380 IU/l on the 7th postoperative day, then a pulmonary metastases appeared and progressed, and the patient died on the 22nd postoperative day.
Kawashima
Y
Y
Dept. of Surgery, Fujiyoshida City Hospital.
Ishikawa
H
H
Hada
M
M
Sakata
K
K
Hirai
T
T
Asaumi
S
S
Koshizuka
H
H
Oowada
S
S
Miyamoto
Y
Y
Izuo
M
M
D000368:Aged; D002822:Choriocarcinoma / Q000032:analysis / Q000473:pathology* / Q000601:surgery; D006063:Chorionic Gonadotropin / Q000032:analysis; D005743:Gastrectomy; D006801:Humans; D008297:Male; D011706:Pyloric Antrum; D013274:Stomach Neoplasms / Q000032:analysis / Q000473:pathology* / Q000601:surgery
D006063:Chorionic Gonadotropin