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本院近期诊治1例同器官异时性多源性癌,现报告如下。患者男性,74岁。上腹部疼痛3年,近6个月来呕血、黑便4次,于1989年5月4日入院。平素体健,无烟酒嗜好,无肿瘤家族史。体检无异常发现。X线钡透诊断:胃窦部癌。胃镜下见:胃窦部小弯侧有一4cm×7cm巨大深溃疡,表面污秽,四周隆起,胃腔缩窄,胃镜诊断:胃窦癌。于1989年5月6日在连续硬膜外麻醉下行胃癌根治术(R_2)。术中见胃窦部小弯侧有约5cm×6cm大小肿块,质硬;幽门下有一直径约1cm的肿大淋巴结,质中等。病检报告:胃幽门区小弯侧溃疡型粘液性印戒细胞腺癌,累及全层,两切端未见癌细胞,大弯侧2枚淋巴结有癌细胞
The hospital recently diagnosed and treated one case of an allogeneic multi-source cancer of the same organ. The report is as follows. The patient is male, 74 years old. Pain in the upper abdomen for 3 years, vomiting in the past 6 months, and melena 4 times, was admitted on May 4, 1989. Physically healthy, alcohol-free, no family history of cancer. There was no abnormal physical examination. X-ray scan diagnosis: gastric antrum cancer. Under gastroscopy see: a small deep side of the antrum with a 4cm × 7cm large deep ulcer, the surface is dirty, surrounded by uplift, narrowing of the gastric cavity, gastroscopy diagnosis: gastric antrum cancer. On May 6, 1989, continuous epidural anesthesia underwent radical gastrectomy (R_2). During the operation, the small antrum showed a mass of about 5cm x 6cm on the minor curve, and it was hard; there was a lymph node with a diameter of about 1cm under the pylorus, and it was of moderate quality. Disease report: Gastric pyloric area, small curved side ulcer type mucinous signet ring cell adenocarcinoma, involving the entire layer, no cancer cells at the two cut ends, two lymph nodes in the large curvature side have cancer cells