Differential diagnosis of gastric differentiated adenocarcinoma 6

CASE : 0073

Presentation

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Case presentation
Age: 82
Sex: M
Chief complaint: None (feces positive for occult blood)
Race
Asian
History
In screening, gastroscopy suggested extensive early gastric cancer IIa mainly in the antrum.
Past history
Hypertension, lumbar spinal canal stenosis
Family history
Noting of note
Smoking
Non-smoker
Drinking
Non-drinker
Laboratory test
[Blood biochemical examination] Total protein: 7.2g/dl, T-Bil: 0.6mg/dl, iron: 72μg/dl, TIBC: L271μg/dl (303-379), GOT (AST): 30IU/L, LDH: H258IU/L (162-350)
[Peripheral blood examination] WBC: H9,600/μl (3.9-6.3), RBC: 4,510,000/μl, Hgb: 14.4g/dl, PLAT: 310,000/μl, AFP: 3ng/ml
[Tumor markers] CEA: 2.7ng/ml, CA19-9: 12U/ml, CA125: 12U/ml
Release date
2008-12-24
Various codes
ACR Code:723.3291
Contributor: Tadakazu Shimoda
Institution: National Cacner Center
Country: Japan
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