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胃癌合并急性大出血临床上并不少见,我科1978年—1987年收治42例。现总结分析如下。 1.一般情况:男33例,女9例。最大年龄78岁,最小年龄31岁,平均56.2岁。术前诊断:胃癌26例,待查5例,误诊11例。原发灶情况:胃下部10例,胃中部8例,胃上部5例,较广泛浸润19例。肿瘤直径3cm以内8例,3～5cm13例,5～10cm13例,10cm以上5例,无记载3例。限于粘膜至肌层者19例,侵犯全层10例,已浸润周围器官13例。伴有肝转移1例。 2.病理类型及临床分期,溃疡型腺癌21例,未分化癌10例,粘液腺癌6例,管状腺癌2例,溃疡癌变3例。Ⅰ期5例,Ⅱ期15例,Ⅲ期9例,Ⅳ期13例。
Gastric cancer with acute bleeding is not uncommon in clinical practice, and our department was admitted to and treated in 1978-1987. The summary analysis is as follows. 1. General situation: 33 males and 9 females. The maximum age is 78 years, and the minimum age is 31 years, with an average of 56.2 years. Preoperative diagnosis: 26 cases of gastric cancer, 5 cases to be investigated, 11 cases misdiagnosed. Primary lesions: 10 in the lower stomach, 8 in the middle stomach, 5 in the upper stomach, and 19 in the more extensive infiltration. The tumor diameter was less than 3cm in 8 cases, 3 to 5cm in 13 cases, 5 to 10cm in 13 cases, and 10cm in 5 cases, and no documented 3 cases. Nineteen patients were confined to the mucous membrane to the muscular layer, and 10 cases were invaded by the entire layer, and 13 had infiltrated the surrounding organs. With liver metastases in 1 case. 2. Pathological types and clinical stages, 21 cases of ulcerative adenocarcinoma, 10 cases of undifferentiated carcinoma, 6 cases of mucinous adenocarcinoma, 2 cases of tubular adenocarcinoma, 3 cases of ulceration and carcinogenesis. There were 5 cases in stage I, 15 cases in stage II, 9 cases in stage III, and 13 cases in stage IV.