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患者,男,53岁,1990年5月胃区疼痛,腹部不适,经过消化道钡餐造影,胃镜检查活检,病理报告为胃腺癌(病理号A015656)。于1990年7月28日入院,1990年8月13日硬膜外麻醉剖腹进行胃癌根治术。术中发现胃体有10×12cm肿瘤,且与脾门、胰腺、后腹膜血管、淋巴结粘连固定受侵,手术无法切除而关腹。术后3周采用UFTMF方案,优福定口服每次4片,一日3次连服2个月;丝裂霉素6mg,氟脲嘧啶500mg每周1次静脉冲入,连用6周为一疗程。休息
Patient, male, 53 years old, May 1990 stomach area pain, abdominal discomfort, gastrointestinal barium meal, gastroscopy biopsy, pathology report for gastric adenocarcinoma (Path No. A015656). He was admitted to hospital on July 28, 1990, and epidural anesthesia was performed on August 13, 1990 for radical gastrectomy of the stomach. The intraoperative gastric body was found to have a 10×12cm tumor and was infiltrated with splenic portal, pancreas, retroperitoneal blood vessels, and lymph node adhesions. The operation could not be resected and the abdomen was closed. After 3 weeks of surgery, UFTMF protocol was used. UTF was taken orally four times a day, three times a day for 2 months; mitomycin 6 mg, and 500 mg of 5-fluorouracil were pulsed once a week for 6 weeks. Treatment. rest