Primer mide koryokarsinoması: Vaka takdimi ve literatürün gözden geçirilmesi

The case of a 38-year-old woman who had a gastric choriocarcinoma with liver metastasis is presented. Gastric choriocarcinoma is a rare condition. Histopathological evaluation, with immunohistochemical staining of the biopsies obtained from the annular mass in the antrum and the metastatic mass in the liver, showed a trophoblastic tumor. The absence of any gonadal or other primary tumor indicated that the patient might have a primary gastric choriocarcinoma. Different theories are discussed as a possible explanation of the pathogenesis of primary gastric choriocarcinoma.

Özet

Burada midesinde koryokarsinomu ve karaciğere metastazı olan 38 yaşında bayan hasta, literatür özeti ile birlikte sunulmuştur. Mide koryokarsinomu nadir görülen bir tümördür. Hastanın antrumunu çepeçevre saran kitlesinden ve karaciğerindeki metaz ile uyumlu kitlesinden alınan biyopsiler, konvansiyonel yöntemler ve immünhistokimyasal boyama ile değerlendirildiğinde trofoblastik tümör olduğu görüldü. Ayrıntılı tetkiklerinde, gonadal veya başka bir organdan kaynaklanabilecek başka bir primer odak saptanamadı. Bütün bu sonuçlarla hasta primer olarak mideden kaynaklanan koryokarsinom olarak düşünüldü. Burada literatür eşliğinde primer mide koryokarsinomu gelişimi teorileriyle olgumuz tartışılmıştı

Keywords

Koryokarsinom Mide Karsinom Karaciğer neoplazmları Neoplazm metastazı Mide neoplazmları Choriocarcinoma Stomach Carcinoma Liver Neoplasms Neoplasm Metastasis Stomach Neoplasms

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Cite This Article

GÜRSOY, M., GÜR, G., ÜSTÜNDAĞ, Y., DEMİRHAN, B., BAYSAL, Ç., BOYACIOĞLU, S. (2000). Primer mide koryokarsinoması: Vaka takdimi ve literatürün gözden geçirilmesi. Turkish Journal of Gastroenterology, Cilt: 11 - Sayı: 1, 34–38. https://ajindex.com/articles/410457

References (1)

. Fukuda Y, Sakurai M, Matsuura N. Primary gastric choriocarcinoma: Report of an autopsy case with immunohistochemical study. Acta Pathol Jpn 1985; 35: 655-66. 2). Yakeishi Y, Mori M, Enjoji M. Distribution of -human chorionic gonadotropin-positive cells in noncancerous gastric mucosa and in malignant gastric tumors. Cancer 1990; 66: 695-701. 3). Gorczyca W, Woyke S. Endoscopic brushing cytology of primary gastric choriocarcinoma. Acta Cytol 1992; 36: 551-4. 4). Garcia PI, Ghali VS: Gastric choriocarcinoma and yolk salk tumor in a man: Observations about its possible origin. Hum Pathol 1985; 16: 955-8. 5). Motzer RJ, Bosl GJ. Hemorrhage: a complication of metastatic testicular choriocarcinoma. Urology 1987; 30: 119-22. 6). Davidshon C. Chorion-Epithelium und Magenkrebs, eine seltene Verschmelzung zweier bosatiger Geschwulste. Charit Ann 1905; 29: 426-37. 7). Manabe T, Adachi M, Hirao K. Human chorionic gonadotropin in normal, inflammatory and carcinomatous gastric tissue. Gastroenterology 1985; 89: 1319-25. 8). Pick L. Über die chorionepitheliomahnliche metastasierende form des magencarcinoma. Klin Wochenschr 1926; 5: 1728-9. 9). Jan YJ, Chen JT, Ho WL, et al. Primary coexistent adenocarcinoma and choriocarcinoma of the stomach. A case report and review of the literature. J Clin Gastroenterol 1997; 25: 550-4. 10). Motoyoma T, Aizawa K, Fujiwara T, et al. Coexistence of choriocarcinoma and hepatoid adenocarcinoma in the stomach. Pathol Int 1994; 44: 716-21. 11). Bateman HE, Kasimis BS, Yook CR, Hiremath V. Case report: primary choriocarcinoma of the stomach. N Eng J Med 1995; 92:459-62. 12). Imai Y, Kawabe T, Takahashi M, et al. A case of primary gastric choriocarcinoma and a review of the Japanese literature. J Gastroenterol 1994;29:642-6. 13). Hattori M, Imura H, Matsukura S, et al. Multiple-hormone producing lung carcinoma. Cancer, 1979; 43: 2429-37. 14). Ordonez NG, Luna MA. Choriocarcinoma of the colon. Am J Gastroenterol. 1984; 79: 39-42. 15). Obe JA, Rosen N, Koss LG. Primary choriocarcinoma of the urinary bladder. Cancer 1983; 52: 1405-9. 16). M. Coşkun, Agildere AM, Boyvat F, et al. Primary choriocarcinoma of the stomach and pancreas: CT findings. Eur Radiol 1998; 8: 1425-8.