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頁籤選單縮合
題名 | Hepatoid Adenocarcinoma of the Stomach with Liver Metastasis:Report of a Case=胃部類肝癌性腺癌合併肝臟轉移:一病例報告 |
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作者 | 洪弘昌; 趙毅; 黃惠君; 王聖賢; 張扶陽; 李壽東; 金光亮; 李芬瑤; | 書刊名 | 中華民國消化系醫學雜誌 |
卷期 | 14:2 1997.06[民86.06] |
頁次 | 頁39-44 |
分類號 | 416.243 |
關鍵詞 | 甲型胎兒蛋白; 類肝癌性腺癌; 胃癌; 肝臟轉移; A-fetoprotein; Hepatoid adenocarcinoma; Gastric cancer; Liver metastasis; |
語文 | 英文(English) |
中文摘要 | 發生於胃部的類肝癌性腺癌,屬於一種特殊型態之胃癌,首先在1986年被Ishikura H命名。組織學上,該病為同時具有典型胃部腺癌細胞及分化上類似肝癌細胞之不正常細胞。此外,這種惡性腫瘤可製造高量的甲型胎兒蛋白,並具備特殊的免疫染色性質。胃部的類肝癌性腺癌,在過去數年中僅有零星的病例研究報告。以往在臺灣,組織免疫染色陽性之胃部類肝癌性腺癌,未曾報告過。於本文,將探討此疾病之臨床表現及組織病理特徵於甲型胎兒蛋白組織免疫染色上,該病患之胃及肝臟標本呈現現強烈陽性反應。 |
英文摘要 | Hepatoid adenocarcinoma of the stomach was first designated in 1986 by Ishikura. Hepatoid adenocarcinoma of the stomach owes its unique features among carcinoma of stomach to its intestinal-type adenocarcinoma mixed with tumor nests towards hepatoid differentiation. In addition, the significant α-fetoprotein-producing capability and special immunohistological staining property of tumor cells are noted. This is the first case in which hepatoid adenocarcinoma of the stomach, proved by immunohistological stain, has ever been reported in Taiwan. Herein, we report the clinical manifestations and histopathological features of a patient with hepatoid adenocarcinoma of stomach with liver metastasis. The resected gastric and liver tumor specimens of the patient revealed strongly positive results by α-fetoprotein immunohistochemical stain. |
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