Gastric cancer in the setting of persistently elevated human chorionic gonadotropin: a case report.

Case Reports in Obstetrics and Gynecology
Latoya R Walker, Brian Erler

Abstract

A 35-year-old woman presented to the emergency room for the evaluation of failed surgical and medical management of a suspected ectopic pregnancy. When imaging studies were performed, she had lymphadenopathy and diffuse sclerosis of the osseous framework. Multiple biopsies were performed and revealed poorly differentiated metastatic carcinoma with signet ring features. Esophagogastroduodenoscopy confirmed the findings of a Stage IV gastric adenocarcinoma. Signs and symptoms of gastric carcinoma are vague. However, to our knowledge, an elevation in human chorionic gonadotropin (hCG) is not an associated finding. Persistence of hCG has many causes from abnormal pregnancy to menopause and other forms of cancer.

References

Jul 6, 1995·The New England Journal of Medicine·C S Fuchs, R J Mayer
Jun 18, 2002·BJOG : an International Journal of Obstetrics and Gynaecology·Juhani VartiainenUlf-Håkan Stenman
Jul 11, 2006·The New England Journal of Medicine·David Cunningham MAGIC Trial Participants
Mar 16, 2007·The New England Journal of Medicine·Laurence A ColeCarolyn Y Muller

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Citations

Oct 29, 2014·Case Reports in Medicine·Sahar Eivaz-MohammadiAmer K Syed
Feb 14, 2020·BMC Gastroenterology·Mustafa YildizVeli Mihmanli

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Methods Mentioned

BETA
biopsy

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