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gastric cancers in the form of higher incidence of vascular invasion, lymph node and liver metastasis. 13 Data regarding optimum therapy of AFPGC is sparse. The treatment is similar to that of common gastric adenocarcinoma. Surgical management of an early primary tumor, if feasible, is the indicated approach. Adjuvant chemotherapy and radiotherapy should be given according to current gastric cancer indications, despite the fact that no specific data on adjuvant treatment of AFPGC is available.