Open AccessAlpha-fetoprotein-producing colon cancer with atypical bulky lymph node metastasis
Author(s) -
KuangI Fu,
Akihiro Kobayashi,
Norio Saitô,
Yasushi Sano,
Shigeharu Kato,
Hiroaki Ikematsu,
Takahiro Fujimori,
Yuichi Kaji,
Shigeaki Yoshida
Publication year - 2006
Publication title -
world journal of gastroenterology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.427
H-Index - 155
eISSN - 2219-2840
pISSN - 1007-9327
DOI - 10.3748/wjg.v12.i47.7715
Subject(s) - medicine , colorectal cancer , metastasis , cancer , alpha fetoprotein , lymph node , chemotherapy , lymph node metastasis , lung , lymph , oncology , gastroenterology , pathology , hepatocellular carcinoma
Alpha-fetoprotein (AFP)-producing colorectal cancer is extremely rarely reported until now. All of the reported cases harboring synchronous hematogenous spread including liver and/or lung metastasis had a poor prognosis and died within 12 mo. We here describe a 71-year old man with AFP-producing colon cancer who presented with an unusual bulky lymph node metastasis instead of hematogenous spread. He underwent adjuvant chemotherapy in addition to curative surgical resection, which prolonged his survival.