Clinical Study

Gastric Composite Tumor of Alpha Fetoprotein-Producing Carcinoma/Hepatoid Adenocarcinoma and Endocrine Carcinoma with Reference to Cellular Phenotypes

Table 4

Immunohistochemical findings of AFP-producing carcinoma and neuroendocrine carcinoma of the stomach.

CaseHistologyNCAMCGASPNSEAFPMUC2MUC5ACMUC6CDX2SOX2Ki67 labeling index (%)Phenotype

Tubular++16Gastric
1Hepatoid+++12Gastric
LCNEC++++++42Mixed
2LCNEC+++++24Gastric
3LCNEC++++++32Gastric
4LCNEC++++++22Mixed
5LCNEC++23Gastric
6SCNEC++32Null
7SCNEC+++++25Gastric
8AFPC+++35Intestinal
9AFPC++++18Mixed
10AFPC+++++8Mixed
11AFPC++++12Mixed

LCNEC, large-cell neuroendocrine carcinoma;
SCNEC, small-cell neuroendocrine carcinoma;
AFPC, alfa fetoprotein-producing carcinoma;
NCAM, neural-cell adhesion molecule;
CGA, chromogranin A;
SP, synaptophysin;
NSE, neuron-specific enolase;
AFP, alfa fetoprotein.