1992 Volume 34 Issue 11 Pages 2591-2596_1
A 67-year-old man admitted to our hospital because of dyspnea. Physical examination revealed gynecomastia. Barium meal examination demonstrated Borrmann Type 2 tumor on the lesser curvature of gastric angulus. Biopsy specimens showed choriocarcinoma containing hCG (human Chorionic Gonadotropin) staining-positive syncytiotrophoblast, with the presence of adenocarcinomatous tissue. Clinically, no primary lesions were observed in other organs. From these results, it was diagnosed as primary choriocarcinoma of the stomach. Chemotherapy were done in this patient for 10 months, and remarkable improvement was noted for a while. However, the condition recurred again. During the course, hCG value was measured. It was useful to evaluate the extent, of the growth of tumor clinically. We report primary choriocarcinoma of the stomach, who survived for long time.
