Primary Gastric Choriocarcinoma.
10.5230/jkgca.2008.8.1.47
- Author:
Kyong Hwa JUN
1
;
Ji Han JUNG
;
Hyung Min CHIN
;
Wook KIM
;
Cho Hyun PARK
;
Hae Myung JEON
;
Seung Man PARK
;
Keun Woo LIM
;
Woo Bae PARK
;
Seung Nam KIM
Author Information
1. Department of Surgery, St. Vincent's Hospital, The Catholic University of Korea, Suwon, Korea. wpark@vincent.cuk..ac.kr
- Publication Type:Case Report
- Keywords:
Primary gastric choriocarcinoma
- MeSH:
Adenocarcinoma;
Aged;
Biopsy;
Choriocarcinoma;
Female;
Gastrectomy;
Gastrointestinal Tract;
Hemorrhage;
Humans;
Lymph Node Excision;
Melena;
Pregnancy;
Prognosis;
Uterus
- From:Journal of the Korean Gastric Cancer Association
2008;8(1):47-52
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The majority of choriocarcinomas occur in the uterus as gestational malignant tumors. Rarely, a choriocarcinoma appears in the gastrointestinal tract, and the tumor is assumed to arise from a different histogenetic origin as compared to tumors of other sites. A primary gastric choriocarcinoma is a rare aggressive, widely metastatic malignant tumor, and has a poor prognosis. Reported here is a case of a 69-year-old woman with a primary gastric choriocarcinoma who presented with melena, epigastric pain, and was diagnosed with a poorly differentiated adenocarcinoma based on a preoperative endoscopic biopsy. Gastrectomy with lymph node dissection, followed by postoperative chemotherapy, is the treatment of choice. Therefore, in the case of a poorly differentiated adenocarcinoma with a bleeding tendency, a meticulous examination with the suspicion of a choriocarcinoma should be undertaken.
