Abstract
A 26-year-old male presented with a colorectal adenocarcinoma with germ-cell differentiation and an isolated elevation of serum alpha-fetoprotein. He was treated with platinum/etoposide/bleomycin chemotherapy with a decrease in serum alpha-fetoprotein and in the size of the primary tumor. An ongoing tumor-marker response occurred when the patient was switched to concurrent 5-fluorouracil chemotherapy and radiation therapy. The patient underwent a palliative diversion of his rectal cancer 10 months after diagnosis, developed liver metastasis at 12 months, and died 20 months after diagnosis.
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Coleman, T.A., Redger, C.D., Hamill, R.L. et al. Rectal adenocarcinoma with germ-cell differentiation. Dis Colon Rectum 46, 1702–1705 (2003). https://doi.org/10.1007/BF02660779
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DOI: https://doi.org/10.1007/BF02660779