title: Alpha-fetoprotein-producing colon cancer with atypical bulky lymph node metastasis.
abstract: Alpha-fetoprotein (AFP)-producing colorectal cancer is extremely rarely reported until now. All of the reported cases harboring synchronous hematogenous spread including liver and/or lung metastasis had a poor prognosis and died within 12 mo. We here describe a 71-year old man with AFP-producing colon cancer who presented with an unusual bulky lymph node metastasis instead of hematogenous spread. He underwent adjuvant chemotherapy in addition to curative surgical resection, which prolonged his survival.
authors.affiliation: Department of Radiology, Dokkyo University School of Medicine, 880 Kitakobaysashi, Mibu, Shimotuga, Tochigi 321-0293, Japan. fukuangi@hotmail.com
authors.forename: Kuangi
authors.initials: K
authors.lastname: Fu
authors.forename: Akihiro
authors.initials: A
authors.lastname: Kobayashi
authors.forename: Norio
authors.initials: N
authors.lastname: Saito
authors.forename: Yasushi
authors.initials: Y
authors.lastname: Sano
authors.forename: Shigeharu
authors.initials: S
authors.lastname: Kato
authors.forename: Hiroaki
authors.initials: H
authors.lastname: Ikematsu
authors.forename: Takahiro
authors.initials: T
authors.lastname: Fujimori
authors.forename: Yasushi
authors.initials: Y
authors.lastname: Kaji
authors.forename: Shigeaki
authors.initials: S
authors.lastname: Yoshida
mesh_terms: D000368:Aged; D000970:Antineoplastic Agents / Q000627:therapeutic use; D003110:Colonic Neoplasms / Q000188:drug therapy / Q000556:secondary / Q000601:surgery; D003131:Combined Modality Therapy; D006801:Humans; D008207:Lymphatic Metastasis; D008297:Male; D009364:Neoplasm Recurrence, Local / Q000517:prevention & control*; D000509:alpha-Fetoproteins / Q000378:metabolism*
chemical_list: D000970:Antineoplastic Agents; D000509:alpha-Fetoproteins