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Carcinoembryonic antigen, alpha-fetoprotein and carcinoplacental alkaline phosphatase in gastric carcinoma metastatic to the liver

✍ Scribed by Manabu Masuzawa; Par-Khen Lee; Takenobu Kamada; Teruhisa Akeyama; Hiroshi Abe; Takashi Shimano; Takesada Mori; Hideo Morino; Shingo Ishiguro


Publisher
John Wiley and Sons
Year
1977
Tongue
English
Weight
488 KB
Volume
39
Category
Article
ISSN
0008-543X

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✦ Synopsis


Carcinoembryonic antigen (CEA), alpha-fetoprotein (AFP), and carcinoplacental alkaline phosphatase (CPALP) were detected simultaneously in the sera and body fluids of two male patients with gastric carcinoma matestatic to the liver. At autopsy, widely disseminated gastric cancer of Borrmann III type with liver metastases was revealed in both bases. Histologically, they were moderately differentiated tubular and papillary adenocarcinomas with marked cellular atypia and necrosis. In Case 1, the properties of CPALP were identical to Nagao type CPALP, and in Case 2 the Variant type CPALP. Using immunofluorescence, CEA and CPALP were demonstrated in both primary and metastatic cells. However, only in Case 2 was AFP observed in some of the primary tumor cells.