Abstract
A 63-year-old man consulted his general practitioner (GP) for bdominal pain in March 2010. Laboratory examination revealed n elevated alpha-fetoprotein and the GP referred the patient for uspected hepatocellular carcinoma. A computed tomography scan howed no tumour. Magnetic resonance imaging (MRI) confirmed he absence of hepatic tumour but showed irregular thickening of tomach wall on T2-weighted image with an increased signal on igh b-value (1000 s/mm2) in diffusion-weighted imaging (Fig. 1). pper endoscopy revealed a large ulcerated tumour of the distal tomach. Biopsy samples revealed hepatoid adenocarcinoma (HAC) nd the patient underwent subtotal gastrectomy. The tumour was a
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