RESUMO
We present the case of a 68-year-old Caucasian man with gastric hepatoid adenocarcinoma without increased levels of alpha-fetoprotein (AFP) in the serum. The patient had a strong history of gastric cancer in his family, affecting seven members, including a brother and a sister. The patient underwent subtotal gastrectomy, but 4 months later presented hepatic metastases, and 6 months after the initial diagnosis he succumbed to the disease. Immunohistochemical tests showed that the tumour was positive for AFP, hepatocyte paraffin 1, and neuron-specific enolase, but negative for synaptophysin and chromogranin. Previously reported cases of hepatoid gastric tumours showed that they produce large amounts of AFP and that they have a poor prognosis.
Assuntos
Adenocarcinoma/diagnóstico , Biomarcadores Tumorais/sangue , Neoplasias Gástricas/diagnóstico , alfa-Fetoproteínas/análise , Adenocarcinoma/genética , Adenocarcinoma/secundário , Idoso , Anticorpos Monoclonais , Biomarcadores Tumorais/análise , Evolução Fatal , Feminino , Humanos , Neoplasias Hepáticas/secundário , Masculino , Linhagem , Fosfopiruvato Hidratase/análise , Valor Preditivo dos Testes , Neoplasias Gástricas/genéticaRESUMO
Pathologic splenic rupture is an uncommon finding associated with a long list of pathologic conditions including infectious diseases, hematologic diseases, metabolic disorders, drug therapy, primary and secondary benign or malignant splenic tumors, acute or chronic pancreatitis, collagen disorders, pregnancy, and others. In this report we present a case of pathologic splenic rupture caused by direct invasion from a previously undiagnosed pancreatic tail adenocarcinoma.
