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
Contributor: Tadakazu Shimoda
Institution: National Cancer Center
Country: Japan
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