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Computed Tomographic and Pathological Features of Primary Gastric Choriocarcinoma: Report of a Case

原發性胃絨毛膜癌在電腦斷層攝影及病理所見:一病例報告

摘要


絨毛膜癌為一惡性腫瘤,主要生長在子宮及生殖腺體:偶爾也可生長在人體中線部位,由其他器官長出則極其罕見。本文介紹一位七十歲男性罹患胃部之絨毛膜癌併腺癌其病灶在電腦斷層攝影及病理學之所見。病人以反覆性上腸胃道出血及轉移性肝腫瘤破裂併發腹腔出血表現。有關此一罕見病例之免疫化學檢查所見及其可能的病理生成機轉均在文中一併討論。

關鍵字

絨毛膜癌 電腦斷層攝影

並列摘要


A 70-year-old male was admitted with sudden onset of hematemesis. Upper gastrointestinal (UGI) endoscopy showed a big ulcerative mass over the posterior wall of the antrum. Endoscopic biopsy disclosed adenocarcinoma. Computed tomography of abdomen also showed a big ulcerative mass over the stomach; in addition, multiple necrotic metastatic lesions in the liver were found. Owing to repeated UGI bleeding, the patient received surgical intervention. Pathological studies confirmed the diagnosis of primary gastric choriocarcinoma in coexistence with adenocarcinoma. He later died of tumor rupture from liver metastasis.

並列關鍵字

choriocarcinoma computed tomography liver stomach

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