Korean J Gastrointest Endosc > Volume 31(6); 2005 > Article
Korean Journal of Gastrointestinal Endoscopy 2005;31(6): 409-413.
직장암과 함께 중복암의 형태로 발생한 위의 간양 선암종 1예
조우현․김정섭․이승익․김보현․이수진․이정현·김태오·김윤성·김광하·허 정․강대환․송근암․조 몽
부산대학교 의과대학 내과학교실
Synchronous Double Primary Cancer: Gastric Hepatoid Adenocarcinoma and Rectal Adenocarcinoma
Woo Hyun Cho, M.D., Jung Sup Kim, M.D., Sung Yik Lee, M.D., Bo Hyun Kim, M.D., Su Jin Lee, M.D., Jung Hyun Lee, M.D., Tae Oh Kim, M.D., Yun Seong Kim, M.D., Gwang Ha Kim, M.D., Jeong Heo, M.D., Dae Hwan Kang, M.D., Geun Am Song, M.D. and Mong Cho, M.D.
Department of Internal Medicine, Pusan National University College of Medicine, Busan, Korea
Abstract
Hepatoid adenocarcinoma (HAC) of the stomach is a rare neoplasm consisting of both adenocarcinomatous and hepatocellular carcinoma (HCC)-like foci; the latter of which showed the full spectrum of morphological and functional features of HCC. Numerous cases of HAC have been reported in a variety of primary organs, the stomach is one of the most common sites. HAC is associated with an increased serum alpha-fetoprotein (AFP) level and a strong tendency for lymphatic and venous invasion. Because of early hepatic metastasis, prognosis seems less favorable than more common types of adenocarcinoma. Here, we report a case of synchronous double primary cancer, consisting of hepatoid adenocarcinoma of the stomach and adenocarcinoma of the rectum. (Korean J Gastrointest Endosc 2005;31:409⁣413)
Key Words: Hepatoid adenocarcinoma, Double primary cancer, Rectal adenocarcinoma
주요어: 간양 선암종, 중복암
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