Korean Journal of Gastrointestinal Endoscopy 1999;19(6): 959-963.
내시경검사로 진단된 원발성 융모상피암 1예 ( A Case of a Primary Gastric Choriocarcinoma Diagnosed by Endoscopic Biopsy )
김훈(Hun Kim),박세영(Sae Young Park),김진철(Jin Cheol Kim),송관욱(Kwan Uk Song),고문수(Moon Soo Koh),장웅기(Woong Ki Chang),김동준(Dong Joon Kim),최경찬(Kyung Chan Choi),박영의(Young E Park)
Abstract
A case of primary choriocarcinoma in the stomach of a 60-year-old male is herein presented. The tumor was diagnosed as a choriocarcinoma by histologic examination and the immunohistochemical method of endoscopic biopsy of a specimen. Serum alpha- fetoprotein and beta-human chorionic gonadotropin were found to be significantly elevated. Multiple distant metastasis of the liver, intraabdominal lymph nodes and malignant ascites were also discovered. The high alpha-fetoprotein level in the serum might have been due to the coexistence of embryonal cell carcinoma or hepatoid adenocarcinoma or both in the stomach. (Korean J Gastrointest Endosc 19: 959∼963, 1999)