A Case of Alpha-fetoprotein-producing Gastric Cancer with Pronounced Liver Metastasis after Open Heart Surgery

Kimiyoshi Shimanuki, Michio Miyata, Hirokazu Kiyozaki, Masataka Satake, Kohichi Shinohara, Wataru Suzuki, Toshihiro Kai, Shigeki Yamada*

Department of Surgery and *Pathology, Omiya Medical Center, Jichi Medical School

We report a case of alpha-fetoprotein-producing gastric cancer associated with aortic valvular disease. Computed tomography (CT), and ultrasonography for preoperative evaluation of gastric carcinoma revealed no liver metastasis. The patient, a 76-year-old man, underwent aortic valve replacement and gastrectomy in a twostage fashion. Twenty-eight days after the open heart surgery, gastrectomy was performed. Curative surgery for gastric cancer could not be performed, because of multiple liver metastases. After the gastrectomy, CT showed prominent growth of metastatic tumors of the liver and the patient died of hepatic failure 45 days after the gastrectomy.

Key words
alpha-fetoprotein producing gastric cancer, open heart surgery

Reprint requests
Kimiyoshi Shimanuki Department of Surgery, Omiya Medical Center, Jichi Medical School
1-847 Amanumacho, Omiya, 330 JAPAN

Accepted
November 11, 1992

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