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

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 choriocarcino...

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Bibliographic Details
Published in:Journal of gastroenterology 1994-10, Vol.29 (5), p.642-646
Main Authors: Imai, Y, Kawabe, T, Takahashi, M, Matsumura, M, Komatsu, Y, Hamada, E, Niwa, Y, Kurita, M, Shiina, S, Shimada, T
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Choriocarcinoma - pathology
Female
Humans
Middle Aged
Stomach Neoplasms - pathology
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Summary: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.
ISSN:0944-1174
1435-5922
DOI:10.1007/bf02365449