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Journal of Gastroenterology

, Volume 29, Issue 5, pp 642–646 | Cite as

A case of primary gastric choriocarcinoma and a review of the Japanese literature

  • Yasuo Imai
  • Takao Kawabe
  • Morio Takahashi
  • Masayuki Matsumura
  • Yutaka Komatsu
  • Eiji Hamada
  • Yasuo Niwa
  • Masahiro Kurita
  • Shuichiro Shiina
  • Tadahito Shimada
  • Shinichi Ota
  • Yasushi Shiratori
  • Akira Terano
  • Masao Omata
Case Reports

Abstract

A 63-year old woman who had experienced melena for 2 weeks was admitted to Tokyo University Hospital. Gastric adenocarcinoma was diagnosed endoscopically and histologically, and a total gastrectomy was performed soon thereafter. Pathological examination of the resected stomach revealed choriocarcinoma of the stomach. Although chemotherapy was administered after surgery, she died 3 months after admission. Autopsy confirmed the diagnosis of primary gastric choriocarcinoma, a rare, but highly malignant tumor. It is characteristic; macroscopically it forms a necrotic mass with bleeding, and microscopically it often consists of adenocarcinoma and choriocarcinoma. Since its prognosis is extremely poor, we must take into account the possibility of primary gastric choriocarcinoma when a hemorrhagic gastric tumor with necrosis is found.

Key words

gastric choriocarcinoma gastric adenocarcinoma human chorionic gonadotropin 

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Copyright information

© Springer-Verlag 1994

Authors and Affiliations

  • Yasuo Imai
    • 1
  • Takao Kawabe
    • 1
  • Morio Takahashi
    • 1
  • Masayuki Matsumura
    • 1
  • Yutaka Komatsu
    • 1
  • Eiji Hamada
    • 1
  • Yasuo Niwa
    • 1
  • Masahiro Kurita
    • 1
  • Shuichiro Shiina
    • 1
  • Tadahito Shimada
    • 1
  • Shinichi Ota
    • 1
  • Yasushi Shiratori
    • 1
  • Akira Terano
    • 1
  • Masao Omata
    • 1
  1. 1.Second Department of Internal Medicine, Faculty of MedicineUniversity of TokyoTokyoJapan

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