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例1男,68岁,1994年3月入院。患者入院前7个月开始出现进食后梗噎感,伴上腹隐痛、烧心,不伴黑便、呕血,因进食困难逐渐加重就诊于我院。入院后行上消化道造影发现胃小弯侧僵硬,胃镜检查示贲门口可见环周菜花样隆起,胃底大弯侧及后壁侧可见3cm×8cm增殖样隆起,查幽门螺杆菌(Hp)阴性,无贫血,后行胃大部切除术。术后病理检查结果:胃底类癌,侵及全层,小弯侧淋巴结转移。
Example 1 Male, 68 years old, admitted to hospital in March 1994. 7 months before admission, patients began to appear after eating stalk sense, with abdominal pain, heartburn, without melena, hematemesis, due to eating difficulties gradually increased in our hospital. Admitted to the upper gastrointestinal tract imaging found that the lesser curvature of the stomach side of the stomach, gastroscopy showed cardia around the ring cauliflower visible bulge, stomach curvature and the posterior wall side of the large 3cm × 8cm proliferative like uplift, check Helicobacter pylori (Hp) Negative, anemic, posterior subtotal gastrectomy. Postoperative pathological findings: gastric fundic carcinoma, invasion and full-thickness, small curved side lymph node metastasis.