Ando Eiji, Oriishi Tetsuharu, Toyonaga Atsushi, Tobaru Takeshi, Tanaka Masatoshi, Shimamura Ryuji, Terai Yuji, Nakajima Yutaka, Sata Michio
Department of Medicine II, Kurume University School of Medicine, 67, Asahi-Machi, Kurume-shi, Fukuoka-ken, 830-0011, Japan.
Eur J Gastroenterol Hepatol. 2002 Jun;14(6):687-91. doi: 10.1097/00042737-200206000-00015.
A case of alpha-fetoprotein (AFP) and des-gamma-carboxy prothrombin (DCP) producing gastric cancer with multiple liver metastasis is reported. The simultaneous presence of Borrmann I gastric cancer and IIa aggregating type gastric cancer was noted. Borrmann I gastric cancer was a poorly differentiated adenocarcinoma, while IIa aggregating type gastric cancer was a moderately differentiated adenocarcinoma. Plasma levels of AFP and DCP were 247,000 ng/ml and 320,000 mAU/ml, respectively. Immunohistochemical staining confirmed the production of these two proteins in Borrmann I gastric cancer.