Clinicopathological Characteristics of Gastric Hepatoid Adenocarcinoma
Article
in Korean
| WPRIM (Western Pacific)
| ID: wpr-66969
Responsible library:
WPRO
ABSTRACT
BACKGROUND/AIMS:
Gastric hepatoid adenocarcinoma (GHA), a rare type of primary gastric cancer, is characterized by a histology resembling hepatocellular carcinoma. Previous case studies reported that patients with GHA have a poor prognosis due to early lymph node or liver metastasis, but information concerning GHA is still limited. Therefore, we aimed to evaluate the clinicopathological features of GHA. MATERIALS ANDMETHODS:
We reviewed the medical records of 9 patients who were diagnosed as having GHA between January 2011 and December 2016. The clinicopathological characteristics of these patients were retrospectively analyzed.RESULTS:
The median age of the patients at diagnosis was 68.9 years. Seven of the 9 patients were male. Serum AFP levels were elevated in 3 of 4 patients. All the tumors were >4 cm (range, 4~12 cm), and 7 tumors were located at the lower third of the stomach. Five tumors were classified as Borrmann's type 3, with a purple, berry-like surface. Of the 6 patients without distant metastasis, 5 received curative-intent surgery and 3 received adjuvant chemotherapy. Three patients with distant metastasis received either palliative operation and/or chemotherapy. Their median survival time was 11.8 months (range, 1~36 months). Two patients with elevated serum CEA levels had poor outcomes.CONCLUSIONS:
GHA is a rare subtype of gastric cancer that is prone to liver metastasis. All GHAs are advanced gastric cancer with a purple, berry-like surface at diagnosis. Although the prognosis of advanced-stage GHA is poor, active multimodality treatment might provide some benefit.
Full text:
Available
Database:
WPRIM (Western Pacific)
Main subject:
Prognosis
/
Stomach
/
Stomach Neoplasms
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Adenocarcinoma
/
Medical Records
/
Retrospective Studies
/
Chemotherapy, Adjuvant
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Carcinoma, Hepatocellular
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Diagnosis
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Drug Therapy
Type of study:
Diagnostic study
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Observational study
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Prognostic study
Limits:
Humans
/
Male
Language:
Korean
Journal:
The Korean Journal of Helicobacter and Upper Gastrointestinal Research
Year:
2017
Document type:
Article