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Gastric Cancer in the Setting of Persistently Elevated Human Chorionic Gonadotropin: A Case Report

机译:持续升高的人类绒毛膜促性腺激素的环境下的胃癌:一例报告

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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.
机译:一名35岁的妇女出现在急诊室,以评估怀疑是异位妊娠的手术和药物治疗失败的情况。进行影像学检查时,她患有淋巴结肿大和骨框架弥漫性硬化。进行了多次活检,发现低分化的转移性癌具有图章环特征。食管胃十二指肠镜检查证实了IV期胃腺癌的发现。胃癌的体征和症状模糊。然而,据我们所知,人绒毛膜促性腺激素(hCG)升高并非相关发现。 hCG持续存在多种原因,从异常怀孕到更年期及其他形式的癌症。

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