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我院1993年检出2例类型特殊的早期胃癌,即“一点癌”,浅表广泛型癌各1例,现报告如下: 例1 徐某,女姓,48岁。因上腹隐痛,饱胀,有时恶心呕吐11月,于1993年6月2日以慢性胃炎入院。入院后行上消化道氧钡双重对比造影诊断为慢性胃炎。胃镜检查:胃窦见小灶性粘膜粗糙并有小结节,诊断为慢性萎缩性胃炎。病理报告:胃窦部中度萎缩性胃炎伴中度肠化、重度不典型增生、小区癌变。手术时肉眼未见癌灶,切除标本大量,连续切片也未发现癌组织,诊断为“一点癌”。
In 1993, our hospital detected 2 cases of special type of early gastric cancer, namely, “a little cancer” and 1 case of superficial cancer. The report is as follows: Example 1 Xu, female, 48 years old. Due to abdominal pain, fullness, and sometimes nausea and vomiting in November, she was admitted to hospital with chronic gastritis on June 2, 1993. After admission, the upper gastrointestinal tract and oxygen contrast were diagnosed as chronic gastritis. Gastroscopy: In the antrum, the focal mucosa is rough and there are nodules. The diagnosis is chronic atrophic gastritis. Pathology report: Moderate atrophic gastritis in the gastric antrum with moderate intestinal metaplasia, severe dysplasia, and cell carcinogenesis. There was no cancerous lesion in the naked eye during surgery, and a large number of specimens were removed. No cancerous tissue was found in consecutive sections and diagnosed as “a little cancer.”