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- W2322454098 abstract "症例は74歳男性．腹痛を主訴に当院消化器内科受診．急性膵炎の診断にて加療し，膵炎改善後に上部消化管内視鏡検査を施行したところ，病変①胃体上部に３型腫瘍，病変②胃体中部後壁0-Ⅱa＋Ⅱc型腫瘍，病変③胃体中部前壁に0-Ⅱa＋Ⅱc型腫瘍，病変④0-Ⅱc型腫瘍を認め，生検の結果はいずれもadenocarcinomaの診断であった．手術目的のため当科紹介され，胃全摘術を施行した．病理組織診断の結果，病変①はリンパ球浸潤癌，病変②は胎児消化管上皮類似癌由来のAFP産生胃癌，病変③と病変④は通常型腺癌であった．Epstein-Barr Virus（EBV）感染との関連を検討するためEBER-1のin situ hybridizationを施行したところ病変①はEBV感染が確認された．また５個リンパ節転移を認め，すべてAFP陽性で病変②からの転移と考えられた．今回われわれは稀な組織型であるリンパ球浸潤癌，胎児消化管上皮類似癌由来のAFP産生胃癌と通常腺癌を重複した胃癌を経験したので報告する．" @default.
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- W2322454098 date "2013-01-01" @default.
- W2322454098 modified "2023-09-30" @default.
- W2322454098 title "A Case of Rare Multiple Gastric Cancer with Duplicate Histological Types" @default.
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