Differential diagnosis of gastric differentiated adenocarcinoma 2

CASE : 0037

Presentation

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Case presentation
Age: 84
Sex: M
Chief complaint: Epigastric discomfort and anemia
Race
Asian
History
Recently, she underwent gastroscopy due to epigastric discomfort and anemia in a local hospital.
Early gastric cancer IIa was suspected. She desired EMR and was referred to our hospital.
Past history
Hypertension, cerebral infarction, and TUR due to prostatic hypertrophy
Smoking
Non-smoker
Drinking
Non-drinker
Laboratory test
[Blood biochemical examination] Total protein: 6.4 g/dl, T-Bil: 0.3 mg/dl, iron: L19μg/dl (70-150), TIBC: L273μg/dl (303-379), CRP: H0.3mg/dl (≤0.1)
[Peripheral blood examination] WBC: H7,000/μl (3.9-6.3), RBC: L3,700,000/μl (431-565), Hgb: L10.3g/dl (13.7-17.4), Ht: L30.7% (33.6-44.6), PLAT: 300,000/μl, AFP: 1ng/m
[Tumor markers] CEA: 4.7 ng/ml, CA19-9: H40U/ml (≤37)
Release date
2008-12-24
Various codes
ACR Code:723.3291
Contributor: Tadakazu Shimoda
Institution: National Cancer Center
Country: Japan
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