title: Rectal adenocarcinoma with germ-cell differentiation: report of a case.
abstract: A 26-year-old male presented with a colorectal adenocarcinoma with germ-cell differentiation and an isolated elevation of serum alpha-fetoprotein. He was treated with platinum/etoposide/bleomycin chemotherapy with a decrease in serum alpha-fetoprotein and in the size of the primary tumor. An ongoing tumor-marker response occurred when the patient was switched to concurrent 5-fluorouracil chemotherapy and radiation therapy. The patient underwent a palliative diversion of his rectal cancer 10 months after diagnosis, developed liver metastasis at 12 months, and died 20 months after diagnosis.
authors.affiliation: Department of Medical Oncology, Eisenhower Army Medical Center, Augusta, Georgia, USA.
authors.forename: Teresa A
authors.initials: TA
authors.lastname: Coleman
authors.forename: Charles D
authors.initials: CD
authors.lastname: Redger
authors.forename: Randy L
authors.initials: RL
authors.lastname: Hamill
authors.forename: Paul
authors.initials: P
authors.lastname: Dainer
mesh_terms: D000230:Adenocarcinoma / Q000188:drug therapy / Q000473:pathology* / Q000532:radiotherapy; D000328:Adult; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D001761:Bleomycin / Q000008:administration & dosage; D002471:Cell Transformation, Neoplastic; D002945:Cisplatin / Q000008:administration & dosage; D003131:Combined Modality Therapy; D005047:Etoposide / Q000008:administration & dosage; D005472:Fluorouracil / Q000008:administration & dosage; D018237:Germinoma / Q000473:pathology*; D006801:Humans; D008113:Liver Neoplasms / Q000556:secondary; D008297:Male; D010166:Palliative Care; D012004:Rectal Neoplasms / Q000188:drug therapy / Q000473:pathology* / Q000532:radiotherapy; D000509:alpha-Fetoproteins / Q000032:analysis
chemical_list: D000509:alpha-Fetoproteins; D001761:Bleomycin; D005047:Etoposide; D002945:Cisplatin; D005472:Fluorouracil