Alpha-fetoprotein-producing advanced colorectal cancer: a rare case report and literature review

Alpha-fetoprotein(AFP)-producing colorectal cancer is a rare form of colorectal cancer with a high degree of malignancy, advanced stage, strong invasiveness, poor response to treatment, rapid progression, and poor prognosis. Herein, we present the case of a middle-aged (in his 50s) male patient who...

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Main Authors: Huan Ding, Shan Xu, Kang Wang, Xin Wang, Guanxing Sun, Xiang Li, Yancui Ran, Jinjun Sun
Format: Article
Language:English
Published: SAGE Publishing 2022-08-01
Series:Journal of International Medical Research
Online Access:https://doi.org/10.1177/03000605221117218
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author Huan Ding
Shan Xu
Kang Wang
Xin Wang
Guanxing Sun
Xiang Li
Yancui Ran
Jinjun Sun
author_facet Huan Ding
Shan Xu
Kang Wang
Xin Wang
Guanxing Sun
Xiang Li
Yancui Ran
Jinjun Sun
author_sort Huan Ding
collection DOAJ
description Alpha-fetoprotein(AFP)-producing colorectal cancer is a rare form of colorectal cancer with a high degree of malignancy, advanced stage, strong invasiveness, poor response to treatment, rapid progression, and poor prognosis. Herein, we present the case of a middle-aged (in his 50s) male patient who underwent left neck lymph node biopsy due to “left neck lymph node enlargement for 5 months.” Biopsy results revealed metastatic adenocarcinoma, and computed tomography examination of the chest and abdomen suggested a malignant tumor of the sigmoid colon with multiple metastases. Subsequently, the patient underwent colonoscopy, and the pathological result was colonic adenocarcinoma. Regarding tumor markers, serum alpha-fetoprotein (AFP) was 214 ng/mL. The patient received first- and second-line treatments for colon cancer, but progression-free survival was short. AFP was consistently elevated; after 8 months, the patient had AFP levels of 11,371.8 ng/mL, and imaging confirmed disease progression. The patient subsequently died, with an overall survival of more than 9 months. Compared with other tumor markers, AFP better reflects tumor progression in AFP-producing colorectal cancer.
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spelling doaj.art-abb64a7f992d4477b220930dba37b1b02022-12-22T02:16:29ZengSAGE PublishingJournal of International Medical Research1473-23002022-08-015010.1177/03000605221117218Alpha-fetoprotein-producing advanced colorectal cancer: a rare case report and literature reviewHuan DingShan XuKang WangXin WangGuanxing SunXiang LiYancui RanJinjun SunAlpha-fetoprotein(AFP)-producing colorectal cancer is a rare form of colorectal cancer with a high degree of malignancy, advanced stage, strong invasiveness, poor response to treatment, rapid progression, and poor prognosis. Herein, we present the case of a middle-aged (in his 50s) male patient who underwent left neck lymph node biopsy due to “left neck lymph node enlargement for 5 months.” Biopsy results revealed metastatic adenocarcinoma, and computed tomography examination of the chest and abdomen suggested a malignant tumor of the sigmoid colon with multiple metastases. Subsequently, the patient underwent colonoscopy, and the pathological result was colonic adenocarcinoma. Regarding tumor markers, serum alpha-fetoprotein (AFP) was 214 ng/mL. The patient received first- and second-line treatments for colon cancer, but progression-free survival was short. AFP was consistently elevated; after 8 months, the patient had AFP levels of 11,371.8 ng/mL, and imaging confirmed disease progression. The patient subsequently died, with an overall survival of more than 9 months. Compared with other tumor markers, AFP better reflects tumor progression in AFP-producing colorectal cancer.https://doi.org/10.1177/03000605221117218
spellingShingle Huan Ding
Shan Xu
Kang Wang
Xin Wang
Guanxing Sun
Xiang Li
Yancui Ran
Jinjun Sun
Alpha-fetoprotein-producing advanced colorectal cancer: a rare case report and literature review
Journal of International Medical Research
title Alpha-fetoprotein-producing advanced colorectal cancer: a rare case report and literature review
title_full Alpha-fetoprotein-producing advanced colorectal cancer: a rare case report and literature review
title_fullStr Alpha-fetoprotein-producing advanced colorectal cancer: a rare case report and literature review
title_full_unstemmed Alpha-fetoprotein-producing advanced colorectal cancer: a rare case report and literature review
title_short Alpha-fetoprotein-producing advanced colorectal cancer: a rare case report and literature review
title_sort alpha fetoprotein producing advanced colorectal cancer a rare case report and literature review
url https://doi.org/10.1177/03000605221117218
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