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- W2004162891 abstract "Abstract: A 53‐year‐old male suspected of having a testicular tumor associated with a moderately high titer of α‐Fetoprotein (AFP), was shown to have a IIa + IIc type early gastric cancer in the cardia. The urological diagnoses made from the operated specimen were orchitis and epididimitis. Because of the moderately high titer of AFP (30–80 ng/ml), it was suspected that he had a hepatocellular carcinoma (HCC). A routine upper gastrointestinal endoscopy performed prior to the celiac angiography to assess for a liver tumor revealed gastric cancer. HCC was ruled out using celiac angiography and a total gastrectomy was performed. The operative findings of: P 0 H 0 N 4 S 0 corresponded with stage IV gastric cancer. Subsequently his AFP decreased to an undetectable level and the patient is in a good postoperative condition. The resected tumor was a well differentiated tubular adenocarcinoma and stained positive for AFP. A differential diagnosis with the subtype of AFP excluded the possibility of a yolk sac tumor but did not permit differentiation of the HCC from gastric cancer. A diagnosis of AFP producing gastric cancer must be carefully considered when HCC has been excluded in patients with high AFP titers." @default.
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- W2004162891 date "1991-07-01" @default.
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- W2004162891 title "α‐Fetoprotein Producing Early Gastric Cancer" @default.
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- W2004162891 doi "https://doi.org/10.1111/j.1443-1661.1991.tb00291.x" @default.
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