Primary Gastric Yolk Sac Tumour
Autor: | Asim Qureshi, Mansour Al-Moundhri, Maha Al-Shaibi, Ibrahim Al-Haddabi, Alok Mittal |
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Jazyk: | angličtina |
Rok vydání: | 2018 |
Předmět: | |
Zdroj: | Sultan Qaboos University Medical Journal, Vol 18, Iss 3, Pp 383-385 (2018) |
Druh dokumentu: | article |
ISSN: | 2075-051X 2075-0528 |
DOI: | 10.18295/squmj.2018.18.03.020 |
Popis: | Primary gastric yolk tumours are extremely rare. We report a 52-year-old male who presented to the Sultan Qaboos University Hospital, Muscat, Oman, in 2017 after having undergone a gastrectomy abroad due to a suspected poorly-differentiated adenocarcinoma. The patient subsequently returned to Oman to receive chemotherapy. However, while undergoing chemotherapy, an abdominal computed tomography scan revealed a lobulated mesenteric mass. Microscopic examination of the resected lesion confirmed a diagnosis of a yolk sac tumour. The mass was diffusely positive for α-fetoprotein (AFP) and a gastric carcinoma stain was negative. Gastrectomy slides from the patient’s previous surgery were examined retrospectively. The morphology was typical for a yolk sac tumour and was negative for epithelial markers. An AFP stain showed diffuse immunoreactivity. Thus, the patient was deemed to have had a primary gastric yolk sac tumour which had later metastasised to the mesocolon. Germ cell tumour protocols were initiated and the patient responded well to treatment. Keywords: Yolk Sac Tumor; Germ Cell Tumor; Gastrectomy; Metastasis; Diagnostic Errors; Case Report; Oman. |
Databáze: | Directory of Open Access Journals |
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