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Zhonghua Zhong Liu Za Zhi. 2017 Nov 23;39(11):801-807. doi: 10.3760/cma.j.issn.0253-3766.2017.11.001.

[AFP-producing gastric cancer and hepatoid gastric cancer].

[Article in Chinese; Abstract available in Chinese from the publisher]

Author information

1
Department of Gastrointestinal Oncology, Peking University Cancer Hospital & Institute, Multidisciplinary Collaboration Group, Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education), Beijing 100142, China.

Abstract

in English, Chinese

AFP-producing gastric cancer(AFPGC) and hepatoid adenocarcinoma of the stomach (HAS) are two special subtypes of gastric cancer. There are both correlation and difference between them. AFPGC is usually identified as primary gastric cancer with serum AFP level more than 20 ng/ml or showed AFP positive staining by immunohistochemistry. The diagnosis of HAS is mainly dependent on the pathological character of hepatocellular carcinoma-like differentiation of gastric cancer. The morbidity of AFPGC and HAS are rather low, especially the incidence of HAS is about 1%. The prognoses of these two subtypes are poorer than that of common gastric adenocarcinoma, due to a high incidence rate of liver metastasis and lymph node metastasis. With the development of next-generation sequencing and other genomic technologies, gastric cancers, including these two rare subtypes, are now being investigated in more detail at the molecular level. Treatment remains the biggest challenge, early diagnosis and radical resection can dramatically improve patients'prognosis. Monitoring serum AFP and abdominal imaging examination during follow-up is important for early detection of liver metastasis. In combination with local treatment methods such as transarterial chemoembolization and radiofrequency ablation of liver may further extend patients'survival time. Targeted therapy owes a great potential value in the future.

KEYWORDS:

AFP-producing gastric cancer; Clinicopathological characteristics; Hepatoid adenocarcinoma of the stomach; Molecular subtypes; Prognosis; Treatment

[Indexed for MEDLINE]

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