Abstract:
BACKGROUND:Alpha-fetoprotein (AFP) is an important marker for hepatocellular carcinoma, and the detection of serum AFP is currently the principle method for the diagnosis of hepatocellular carcinoma. The prevalence of gastric cancer (GC) with high level of serum AFP is extremely rare, but has unique clinical features. CASE SUMMARY:We herein present a rare case with GC and high level of serum AFP. A 64-year-old Chinese female underwent gastrectomy was diagnosed as gastric adenocarcinoma and the pathological stage was T1bN0M0, IA. With the progression of disease, the tumor widely metastasized and the serum AFP level increased progressively with the highest level of 3396 ng/mL. She successively entered into 3 lines palliative systematic chemotherapy and fourth-line targeted therapy of apatinib, a small molecule tyrosine kinase inhibitor targeting vascular endothelial growth factor receptor-2. Although previous studies suggested that the prognosis of this special type of GC was poor, this patient lived for 22 months after tumor transfer. Apatinib kept her progression-free survival for 5 months, and the overall survival was 4.5 years. CONCLUSION:So, we speculate that maybe we can focus apatinib on serum AFP elevated GC patients.
journal_name
Medicine (Baltimore)journal_title
Medicineauthors
Zhu XR,Zhu ML,Wang Q,Xue WJ,Wang YW,Wang RF,Chen SY,Zheng LZdoi
10.1097/MD.0000000000004610subject
Has Abstractpub_date
2016-09-01 00:00:00pages
e4610issue
37eissn
0025-7974issn
1536-5964pii
00005792-201609130-00012journal_volume
95pub_type
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