论文部分内容阅读
患者女性,38岁。中上腹隐痛3年,柏油样大便半年。半年前GI检查未发现胃内肿瘤或溃疡。服用雷尼替丁半年。本次又因少量柏油样大便复查GI,结果发现胃大弯侧“平滑肌瘤”。随后胃镜检查发现胃大弯侧“息肉”。取“息肉”活检,病理检查发现活检组织内有少量腺癌细胞。于1991年6月3日行胃癌根治术。 病理巨检 胃小弯侧11cm,胃大弯侧18cm。胃大弯侧距上切端3cm有一卵圆形隆起5cm×3cm×2cm,隆起表面有胃粘膜覆盖,其上有3个直径0.1cm粘膜溃破口,粘膜下为4.5cm×2.5cm×1.5cm质中肿块,卵圆形,边个清楚,切面灰白,质脆。肿块与肌层粘连。胃大弯侧淋巴结找出10枚,直径0.2～0.5cm。
Female patient, 38 years old. Pain in the upper abdomen for 3 years, tarry stool for six months. Six months before the GI examination found no stomach tumors or ulcers. Ranitidine was taken for six months. This time, because of the small amount of tar-like stools, the GI was reexamined. The results showed that the curvature of the stomach was “smooth muscle tumor.” Subsequent gastroscopy revealed a “polyp” on the side of the greater curvature of the stomach. Take a “polyp” biopsy, pathological examination revealed a small amount of adenocarcinoma cells in the biopsy. The radical gastrectomy was performed on June 3, 1991. Pathological examination of the small curvature of the stomach 11cm, 18cm large curvature side. There is an oval bulge of 3 cm from the upper side of the large curvature of the stomach, 5 cm x 3 cm x 2 cm, and the gastric mucosa is covered on the surface of the bulge. There are three 0.1 cm mucous ruptures on the bulge and the submucosa is 4.5cm x 2.5cm x 1.5cm. Mass in mass, oval, with a clear side, gray cut, crisp. The masses adhere to the muscles. Finding 10 large lymph nodes around the stomach with a diameter of 0.2-0.5 cm.