AFPGC has been classified into four histological subtypes: hepatoid, yolk sac tumor, enteroblastic, and common adenocarcinoma type.
HAIC is considered effective for the treatment of the liver metastasis of AFPGC. Local intra-arterial chemotherapy such as HAIC has a lower frequency of side effects than that of systemic chemotherapy.
This case was diagnosed as AFPGC with synchronous multiple liver metastases.
AFPGC is very rich in angiogenesis compared to other gastric cancers .