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

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 reveale...

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Main Authors: LaToya R. Walker, Brian Erler
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:Case Reports in Obstetrics and Gynecology
Online Access:http://dx.doi.org/10.1155/2011/350318
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author LaToya R. Walker
Brian Erler
author_facet LaToya R. Walker
Brian Erler
author_sort LaToya R. Walker
collection DOAJ
description 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.
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spelling doaj-art-d30f134ccb974a93b5cb315b3926861a2025-02-03T01:21:19ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922011-01-01201110.1155/2011/350318350318Gastric Cancer in the Setting of Persistently Elevated Human Chorionic Gonadotropin: A Case ReportLaToya R. Walker0Brian Erler1Department of Obstetrics/Gynecology, Jersey Shore University Medical Center, 1945 Route 33, Neptune, NJ 07753, USADepartment of Pathology, Jersey Shore University Medical Center, 1945 Route 33, Neptune, NJ 07753, USAA 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.http://dx.doi.org/10.1155/2011/350318
spellingShingle LaToya R. Walker
Brian Erler
Gastric Cancer in the Setting of Persistently Elevated Human Chorionic Gonadotropin: A Case Report
Case Reports in Obstetrics and Gynecology
title Gastric Cancer in the Setting of Persistently Elevated Human Chorionic Gonadotropin: A Case Report
title_full Gastric Cancer in the Setting of Persistently Elevated Human Chorionic Gonadotropin: A Case Report
title_fullStr Gastric Cancer in the Setting of Persistently Elevated Human Chorionic Gonadotropin: A Case Report
title_full_unstemmed Gastric Cancer in the Setting of Persistently Elevated Human Chorionic Gonadotropin: A Case Report
title_short Gastric Cancer in the Setting of Persistently Elevated Human Chorionic Gonadotropin: A Case Report
title_sort gastric cancer in the setting of persistently elevated human chorionic gonadotropin a case report
url http://dx.doi.org/10.1155/2011/350318
work_keys_str_mv AT latoyarwalker gastriccancerinthesettingofpersistentlyelevatedhumanchorionicgonadotropinacasereport
AT brianerler gastriccancerinthesettingofpersistentlyelevatedhumanchorionicgonadotropinacasereport