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Case Reports in Obstetrics and Gynecology
Volume 2011 (2011), Article ID 350318, 4 pages
http://dx.doi.org/10.1155/2011/350318
Case Report

Gastric Cancer in the Setting of Persistently Elevated Human Chorionic Gonadotropin: A Case Report

1Department of Obstetrics/Gynecology, Jersey Shore University Medical Center, 1945 Route 33, Neptune, NJ 07753, USA
2Department of Pathology, Jersey Shore University Medical Center, 1945 Route 33, Neptune, NJ 07753, USA

Received 15 July 2011; Accepted 4 August 2011

Academic Editors: B. Coroleu and E. Murta

Copyright © 2011 LaToya R. Walker and Brian Erler. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

A 35-year-old woman presented to the emergency room for the evaluation of failed surgical and medical management of a suspected ectopic pregnancy. When imaging studies were performed, she had lymphadenopathy and diffuse sclerosis of the osseous framework. Multiple biopsies were performed and revealed poorly differentiated metastatic carcinoma with signet ring features. Esophagogastroduodenoscopy confirmed the findings of a Stage IV gastric adenocarcinoma. Signs and symptoms of gastric carcinoma are vague. However, to our knowledge, an elevation in human chorionic gonadotropin (hCG) is not an associated finding. Persistence of hCG has many causes from abnormal pregnancy to menopause and other forms of cancer.