| Differential diagnosis of gastric differentiated adenocarcinoma 12 | CASE : 0079 |
| Presentation |
 
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| Case presentation |
Age: 77 Sex: F Chief complaint: Epigastric pain |
|---|---|
| Race | Asian |
| History | Gastroscopy performed due to the above complaint revealed IIa aggregation with a diameter of 3 cm (biopsy result: Group IV) in the greater curvature of the pylorus. She was referred to our hospital for EMR. |
| Past history | At 43 years of age: Treatment of gastric ulcer with drugs |
| Family history | Elder sister: Gastric cancer |
| Smoking | Non-smoker |
| Drinking | Non-drinker |
| Laboratory test |
[Blood biochemical examination] Total protein: 7.3g/dl, T-Bil: 0.3mg/dl, Total cholesterol: 210mg/dl, GOT(AST): H58IU/L (13-33), GPT(ALT): 23IU/L [Peripheral blood examination] WBC: H6,600/μl (3.9-6.3), RBC: L3,430,000/μl (431-565), Hgb: 11.3g/dl, PLAT: 184,000/μl [Tumor markers] CEA: 3.4ng/ml, CA19-9: 21U/ml |
| Various codes |
ACR Code:723.3291 |
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Contributor: Tadakazu Shimoda Institution: National Cancer Center Country: Japan |