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1临床资料1.1典型病例1男性,74岁,因反复上腹隐痛1年余、加重伴解黑便2 d,于2010年11月9日入院。体查:轻度贫血貌,上腹轻压痛,无反跳痛。胃镜示:胃底贲门区、胃体大、小弯侧及后壁可见巨大不规则菜花样新生物,上覆盖大量坏死组织,周边伴堤状隆起,周围黏膜水肿、皱襞粗大肥厚、僵硬,病灶区取活检4处,病理为胃底中-低分化腺癌。胸、腹部及盆腔CT示:胃底及胃体壁明显不规
1 Clinical data 1.1 Typical cases 1 male, 74 years old, due to repeated upper abdominal pain for more than 1 year, aggravating the melena 2d, on November 9, 2010 admission. Physical examination: mild anemia appearance, tenderness in the abdomen, no rebound tenderness. Gastroscopy: gastric cardia area, gastric body big and small curvature side and the rear wall shows a large irregular cauliflower new organisms, a large number of necrotic tissue on the cover, with the embankment uplift around the surrounding mucosal edema, folds coarse hypertrophy, stiffness, lesions District take biopsy 4, the pathology of the fundus - poorly differentiated adenocarcinoma. Chest, abdomen and pelvic CT showed: gastric fundus and gastric body was significantly irregular