Differential diagnosis of gastric differentiated adenocarcinoma 8 CASE : 0075
Presentation next
Case presentation Age: 50
Sex: M
Chief complaint: Stomach pain and dull back pain
Race Asian
History Endoscopy, performed 3 years earlier during observation of the course of gastric ulcer, showed a gastric lesion, and he was told that surgery is necessary.
Past history At 22 years of age: Duodenal ulcer conservatively treated (hospitalization)
Family history Nothing remarkable
Smoking Smoking index 600
Drinking Beer 700mL /day
Laboratory test [Blood biochemical examination] Total protein: 6.5g/dl, T-Bil: H1.6mg/dl (0.3-1.2), iron: 145μg/dl, TIBC: L260μg/dl (303-379)
[Peripheral blood examination] WBC: H6,300/μl (3.9-6.3), RBC: 4,570,000/μl, Hgb: 15.5g/dl, PLAT: 219,000/μl
[Tumor markers] CEA: 2.1ng/ml, CA19-9: 5U/ml
Release date 2009-01-29
Various codes ACR Code:723.3291
Contributor: Tadakazu Shimoda
Institution: National Cacner Center
Country: Japan