A CASE OF GASTRIC CANCER ASSOCIATED WITH ACROMEGALY
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概要
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We report a case of gastric cancer with acromegaly in a 48-year-old man. He had a history of undergoing a total thyroidectomy for a thyroid cancer. His acromegaly was noticed in 1994 at another hospital. This patient showed typical acromegalic face and increased basal secretion level of GH and insulin like growth factor I (IGF-I). He was incidentally found to have a gastric cancer. Macroscopically it was 0 IIc type and 7mm×3mm in size. The patient was transferred to our department and underwent a partial resection of the stomach. Histological diagnosis was poorly differentiated adenocarcinoma with limited invasion to the submucosal layer. The previous reports mentioned about a high degree of association of acromegaly with neoplasm. However, gastric cancer in acromegalic patient is relatively rare, the continuous higher level of GH and IGF-I might influence carcinogenesis of this patient. The association of malignancy is an important factor for the prognosis in patients with acromagaly. It should be kept in mind in the long term observation of such patients.
- 日本臨床外科学会の論文
日本臨床外科学会 | 論文
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