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报告14例胃溃疡癌,男性11例,女性3例。年龄30～60岁。农民11例,工人3例。11例有明确的慢性、周期性、节律性上腹部疼痛史。10例入院前1～6月有疼痛节律改变或症状加重。8例入院时有呕血或黑便。14例术后均发现胃有巨大溃疡,溃疡直径最大8×8cm。病理诊断:腺癌10例,低分化腺癌2例,粘液腺癌2例。这14例胃溃疡癌的临床特点说明:高龄病人有巨大胃溃疡、疼痛规律改变、呕血或黑便时,应考虑癌变的可能性,要做胃镜活检与刷检,以明确诊断。
Reported 14 cases of gastric ulcer cancer, 11 males and 3 females. Age 30 to 60 years old. There were 11 farmers and 3 workers. Eleven patients had a clear history of chronic, periodic, rhythmic epigastric pain. Ten patients had pain rhythm changes or symptoms worsened from January to June before admission. Eight patients had hematemesis or melena at admission. In 14 cases, huge ulcers were found in the stomach, and the ulcer diameter was 8×8cm. Pathological diagnosis: 10 cases of adenocarcinoma, 2 cases of poorly differentiated adenocarcinoma, 2 cases of mucinous adenocarcinoma. The clinical features of these 14 cases of gastric ulcer cancer showed that: When elderly patients have huge gastric ulcers, changes in pain rules, vomiting blood or melena, the possibility of cancer should be considered, and endoscopic biopsy and brush testing should be done to confirm the diagnosis.