腹膜透析施行中に発症したAFP産生胃癌の1例

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  • Alpha-fetoprotein producing gastric cancer in maintenance continuous ambulatory peritoneal dialysis (CAPD): A case report.

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A 52-year-old man, receiving maintenance continuous ambulatory peritoneal dialysis (CAPD) for about 1 year was admitted to our hospital for chief complaining of fever up and general fatigue. Abdominal computerized tomography (CT) and ultrasonography (US) revealed multiple liver tumor and serum alpha-fetoprotein (AFP) was elevated. On further examination, the clinical diagnosis was gastric tumor. CAPD was discontinued and changed to hemodialysis (HD). Distal gastrectomy was performed. Histopathologic diagnosis was poorly differentiated adenocarcinoma. Serum AFP dropped postoperatively. Postoperative diagnosis was alpha-feto-protein producing gastric cancer.

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