| Differential diagnosis of gastric differentiated adenocarcinoma 5 | CASE : 0072 |
| Presentation |
 
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| Case presentation |
Age: 79 Sex: M Chief complaint: Epigastric pain |
|---|---|
| Race | Asian |
| History | He developed epigastric pain 1 month earlier and underwent gastroscopy in a local hospital. Under a diagnosis of early gastric cancer IIc, EMR was performed, and the surgical margin was positive. For additional treatment, he was referred to our hospital. |
| Past history | At 64 years of age: Surgery for lumber intervertebral disc herniation |
| Family history | Nothing of note |
| Smoking | Smoker (smoking index, more than 300) |
| Drinking | Non-drinker |
| Laboratory test |
[Blood biochemical examination] Total protein: 6.5g/dl, T-Bil: 0.9mg/dl, GOT (AST): 16IU/L [Peripheral blood examination] WBC: H7,400/μl (3.9-6.3), RBC: 4,550,000/μl, Hgb: 14.3g/dl, PLAT: 243,000/μl, AFP: 4.1ng/ml [Tumor markers] CEA: 4.9ng/ml, CA19-9: 17U/ml |
| Release date | 2008-12-24 |
| Various codes |
ACR Code:729.3291 |
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Contributor: Tadakazu Shimoda Institution: National Cancer Center Country: Japan |