Korean J Gastrointest Endosc.
1999 Dec;19(6):959-963.
A Case of a Primary Gastric Choriocarcinoma Diagnosed by Endoscopic Biopsy
- Affiliations
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- 1Department of Internal Medicine, Hallym University College of Medicine, Chuncheon, Korea.
- 2Department of Pathology, Hallym University College of Medicine, Chuncheon, Korea.
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.