论文部分内容阅读
1 病历摘要患者,男性,汉族,67岁。患者以上腹部间断性胀痛1个月,黑便1周入院。行胃镜检查及病理活检诊断为“胃窦部腺癌”。在全麻下行剖腹探查术。术中见胃窦部溃疡型癌3.0cm×5.0cm,侵及浆膜层,幽门下皆可见肿大淋巴结。距癌肿10cm处胃前壁体部可见一5.0cm肿物,呈圆形,包膜完整,质韧,分叶状,为外生型,粘膜表面无溃疡,与周围组织无粘连。行根治性全胃切除术R_3,术后病理报告“胃乳头状腺瘤、胃平滑肌肉瘤(高分化)、淋巴结5/22转移”。
1 medical records of patients, male, Han, 67 years old. The patient had abdominal discontinuous pain for 1 month and black stool for 1 week. Gastroscopic examination and biopsy were diagnosed as “adenocarcinoma of gastric antrum.” The laparotomy is performed under general anesthesia. During the operation, the gastric antrum ulcer type cancer was 3.0cm × 5.0cm, and it invaded the serosal layer. Lymph nodes were seen under the pylorus. From the 10cm of the cancerous area, a 5.0cm tumor was seen in the anterior part of the stomach, showing a round shape with intact capsule, tough and lobulated, and was exogenous. No ulcer was found on the mucosal surface, and no adhesion was observed with the surrounding tissue. Radical total gastrectomy R_3, postoperative pathology report “papillary adenoma, gastric leiomyosarcoma (highly differentiated), lymph node 5/22 metastasis”.