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KMID : 1039320140140010037
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Journal of Liver Cancer
2014 Volume.14 No. 1 p.37 ~ p.40
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A Case of Hepatoid Adenocarcinoma with High Serum Alpha-Fetoprotein Mimicking Hepatocellular Carcinoma
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Cho Yu-Ri
Kim Yoon-Jun
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Abstract
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Hepatoid adenocarcinoma is a type of cancer with both adenocarcinomatous and hepatocellular differentiation. Hepatoid adenocarcinoma has a typical character of high serum alpha-fetoprotein (AFP) level. A 61-year-old female patient was admitted to the hospital with abdominal pain and hepatic mass. Abdominal ultrasonography revealed a 20 cm sized mass in liver. A huge hepatic mass looked like primary hepatocellular carcinoma (HCC) on liver CT and MRI. Also, serum AFP was elevated to 24215.7 ng/mL. Right trisectionectomy was done under the impression of HCC. However, the result of pathological findings including immunohistochemical staining revealed that it was a hepatoid adenocarcinoma which was originated from gallbladder
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KEYWORD
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Hepatoid adenocarcinoma, Alpha-fetoprotein
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