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患者男,52岁。因上腹部胀痛半年,于1992年1月16日在我院行胃镜检查。镜下见胃体上部小弯侧有一约0.5cm×0.4cm×0.2cm的溃疡,边缘规整,表面覆有薄白苔,周围粘膜充血、糜烂、结节样增生。胃镜诊断:胃体溃疡。活检病理报告为管状腺癌。后转外科行胃癌根治术。术中探查胃体小弯侧可触及一1.5cm×1.5cm大小结节,周围淋巴结不大。行胃次全切除术。大体标本胃体小弯侧近幽门处前后体
Male patient, 52 years old. Due to pain in the upper abdomen for six months, gastroscopy was performed in our hospital on January 16, 1992. Under the microscope, an ulcer of about 0.5 cm x 0.4 cm x 0.2 cm was observed on the small curved side of the upper part of the body. The edge was regular and covered with a thin white coating. The surrounding mucosa was hyperemia, erosion, and nodular hyperplasia. Endoscopy diagnosis: ulcers of the body. Biopsy pathology reports tubular adenocarcinoma. After surgery, radical gastrectomy was performed. Intraoperative exploration of the small curvature of the body side can touch a size of 1.5cm × 1.5cm nodules, the surrounding lymph nodes are not large. Gastric subtotal resection. Gross specimen of the small curvature of the body near the pylorus