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2002年3月～12月间,我院胃镜室发现皮革胃3例,报告如下: 例1 女,51岁,农民。因发现进行性消瘦2个月,伴恶心、呕吐2周。胃镜检查发现胃体腔明显狭窄,黏膜充血、水肿、僵硬。大弯侧、小弯侧及后壁可见多个隆起(约0.4 cm×0.5 cm,0.3 cm×0.3 cm,0.1 cm×0.2 cm),与周围组织界限不清,蠕动消失。胃角变形,胃窦腔狭窄变形,黏膜充血水肿,僵硬,蠕动差。用活检钳多点取检5块,组织脆硬。幽门及十二指肠球部及球后无异常。内镜诊断:皮革胃。病理诊断:低分化腺癌。
Between March and December 2002, three cases of leather stomach were found in gastroscopy room of our hospital. The report is as follows: Example 1 Female, 51 years old, farmer. Because of found progressive weight loss 2 months, with nausea, vomiting for 2 weeks. Gastroscopy found obvious gastric cavity narrow, mucosal congestion, edema, stiffness. A large number of protuberances (about 0.4 cm × 0.5 cm, 0.3 cm × 0.3 cm, 0.1 cm × 0.2 cm) were found on the lesser curvature side, the lesser curvature side and the posterior wall, leaving unclear boundaries with surrounding tissues and disappearing peristalsis. Stomach angle deformation, sinus cavity stenosis, mucosal congestion and edema, stiffness, poor peristalsis. Take more biopsy forceps 5, tissue brittle. Pylorus and duodenal bulb and the ball after no exception. Endoscopic diagnosis: leather stomach. Pathological diagnosis: poorly differentiated adenocarcinoma.