TY - JOUR T1 - AFP-producing Hepatoid Adenocarcinoma in Association with Barrett's Esophagus with Multiple Liver Metastasis Responding to Paclitaxel/CDDP: A Case Report JF - Anticancer Research JO - Anticancer Res SP - 2965 LP - 2968 VL - 25 IS - 4 AU - NATSUKO CHIBA AU - TAKASHI YOSHIOKA AU - MASATO SAKAYORI AU - YOSHIKI MIKAMI AU - SHUKICHI MIYAZAKI AU - SHOKO AKIYAMA AU - KAZUNORI OTSUKA AU - GENGO YAMAURA AU - HIROYUKI SHIBATA AU - SYUNSUKE KATO AU - SATOSHI KATO AU - CHIKASHI ISHIOKA Y1 - 2005/07/01 UR - http://ar.iiarjournals.org/content/25/4/2965.abstract N2 - A case of alpha-fetoprotein (AFP)-producing hepatoid adenocarcinoma in association with Barrett's esophagus with multiple liver metastases, responding to chemotherapy, is reported. A 47-year-old man was admitted to our hospital with abdominal pain after subtotal esophagectomy for an esophageal adenocarcinoma in association with Barrett's esophagus, and was diagnosed as having multiple liver tumors. Most tumor markers were normal, but the serum AFP level was markedly elevated. Dynamic computed tomography and ferumoxide enhanced magnetic resonance imaging did not provide evidence of any primary hepatocellular carcinoma. Since microscopic examination of the resected tumor showed a poorly-differentiated adenocarcinoma with hepatoid features displaying AFP-immunoreactivity, the liver tumors were thus considered to be metastatic deposits. Surgery was not feasible so chemotherapeutic agents were tried, and the combination of paclitaxel (TXL) and cisplatin (CDDP) gave a partial response and good control for a period. This is the first report, to our knowledge, of effective chemotherapy for liver metastases from an AFP-producing hepatoid adenocarcinoma of the esophagus. Copyright© 2005 International Institute of Anticancer Research (Dr. John G. Delinassios), All rights reserved ER -