Her2+ and b-HCG Producing Undifferentiated Gastric Adenocarcinoma
A 25-year-old Hispanic female with a history of anemia, schizoaffective disorder, and psychosis was admitted for anemia associated with fatigue, weakness, shortness of breath, night sweats, weight loss, and abdominal and lower back pain for the past two months. On routine management, she was found t...
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2014-01-01
|
| Series: | Case Reports in Medicine |
| Online Access: | http://dx.doi.org/10.1155/2014/268919 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850212522363191296 |
|---|---|
| author | Sahar Eivaz-Mohammadi Fernando Gonzalez-Ibarra Waheed Abdul Omer Tarar Khurram Malik Amer K. Syed |
| author_facet | Sahar Eivaz-Mohammadi Fernando Gonzalez-Ibarra Waheed Abdul Omer Tarar Khurram Malik Amer K. Syed |
| author_sort | Sahar Eivaz-Mohammadi |
| collection | DOAJ |
| description | A 25-year-old Hispanic female with a history of anemia, schizoaffective disorder, and psychosis was admitted for anemia associated with fatigue, weakness, shortness of breath, night sweats, weight loss, and abdominal and lower back pain for the past two months. On routine management, she was found to have a positive serum b-HCG of 80.4 (0–5 mIU/mL) but the patient denied any sexual activity in her life. During her admission, U/S of the pelvis was noncontributory. CT angiogram of the chest was significant for prominent mediastinal and hilar lymph nodes, diffusely thickened stomach suggesting gastric malignancy with multiple hypoenhancing lesions in the liver and diffuse lytic lesions in the spine and sacrum suspicious for metastatic disease. The MRI of the abdomen confirmed the CT angiogram findings. After these findings, EGD was performed which showed lesions in the antrum, body of the stomach, fundus, and cardia on the lesser curvature of the stomach body correlating with carcinoma. The biopsy was positive for Her2, b-HCG producing poorly differentiated gastric adenocarcinoma. Patient underwent one successful round of chemotherapy with Taxotene, Cisplatin, and 5-FU for Stage IV gastric adenocarcinoma. |
| format | Article |
| id | doaj-art-8a42439c029a41e8bf6eb4818d1dc6ea |
| institution | OA Journals |
| issn | 1687-9627 1687-9635 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Medicine |
| spelling | doaj-art-8a42439c029a41e8bf6eb4818d1dc6ea2025-08-20T02:09:18ZengWileyCase Reports in Medicine1687-96271687-96352014-01-01201410.1155/2014/268919268919Her2+ and b-HCG Producing Undifferentiated Gastric AdenocarcinomaSahar Eivaz-Mohammadi0Fernando Gonzalez-Ibarra1Waheed Abdul2Omer Tarar3Khurram Malik4Amer K. Syed5Jersey City Medical Center, Department of Internal Medicine, 355 Grand Street, NJ 07302, USAJersey City Medical Center, Department of Internal Medicine, 355 Grand Street, NJ 07302, USASt. George’s University School of Medicine, Jersey City Medical Center, Department of Internal Medicine, 355 Grand Street, Jersey City, NJ 07302, USAJersey City Medical Center, Department of Internal Medicine, 355 Grand Street, NJ 07302, USAJersey City Medical Center, Department of Internal Medicine, 355 Grand Street, NJ 07302, USAJersey City Medical Center, 355 Grand Street, Jersey City, NJ 07302, USAA 25-year-old Hispanic female with a history of anemia, schizoaffective disorder, and psychosis was admitted for anemia associated with fatigue, weakness, shortness of breath, night sweats, weight loss, and abdominal and lower back pain for the past two months. On routine management, she was found to have a positive serum b-HCG of 80.4 (0–5 mIU/mL) but the patient denied any sexual activity in her life. During her admission, U/S of the pelvis was noncontributory. CT angiogram of the chest was significant for prominent mediastinal and hilar lymph nodes, diffusely thickened stomach suggesting gastric malignancy with multiple hypoenhancing lesions in the liver and diffuse lytic lesions in the spine and sacrum suspicious for metastatic disease. The MRI of the abdomen confirmed the CT angiogram findings. After these findings, EGD was performed which showed lesions in the antrum, body of the stomach, fundus, and cardia on the lesser curvature of the stomach body correlating with carcinoma. The biopsy was positive for Her2, b-HCG producing poorly differentiated gastric adenocarcinoma. Patient underwent one successful round of chemotherapy with Taxotene, Cisplatin, and 5-FU for Stage IV gastric adenocarcinoma.http://dx.doi.org/10.1155/2014/268919 |
| spellingShingle | Sahar Eivaz-Mohammadi Fernando Gonzalez-Ibarra Waheed Abdul Omer Tarar Khurram Malik Amer K. Syed Her2+ and b-HCG Producing Undifferentiated Gastric Adenocarcinoma Case Reports in Medicine |
| title | Her2+ and b-HCG Producing Undifferentiated Gastric Adenocarcinoma |
| title_full | Her2+ and b-HCG Producing Undifferentiated Gastric Adenocarcinoma |
| title_fullStr | Her2+ and b-HCG Producing Undifferentiated Gastric Adenocarcinoma |
| title_full_unstemmed | Her2+ and b-HCG Producing Undifferentiated Gastric Adenocarcinoma |
| title_short | Her2+ and b-HCG Producing Undifferentiated Gastric Adenocarcinoma |
| title_sort | her2 and b hcg producing undifferentiated gastric adenocarcinoma |
| url | http://dx.doi.org/10.1155/2014/268919 |
| work_keys_str_mv | AT sahareivazmohammadi her2andbhcgproducingundifferentiatedgastricadenocarcinoma AT fernandogonzalezibarra her2andbhcgproducingundifferentiatedgastricadenocarcinoma AT waheedabdul her2andbhcgproducingundifferentiatedgastricadenocarcinoma AT omertarar her2andbhcgproducingundifferentiatedgastricadenocarcinoma AT khurrammalik her2andbhcgproducingundifferentiatedgastricadenocarcinoma AT amerksyed her2andbhcgproducingundifferentiatedgastricadenocarcinoma |