胃双癌即多中心性发生的胃癌,目前报告尚少。我院收治一例为胃窦及幽门处各自孤立发生的大体病理形态不同而细胞学类型相同的癌肿,病灶之间有一定距离,其间有正常胃粘膜间隔,术后一般情况良好出院,现报告如下。高××,男,61岁,河南洛阳人。1980年2月下旬始,渐感上腹不适,隐痛,食欲不振,大便干燥,日2—4次。无反酸,嗳气,呕血,便血。曾在河南洛阳市某医院就诊,经上消化道钡透及胸片检查,诊断为“胃癌”、“肺部新生物”等。1980年5月28日来我院就诊,5月30日胃肠道钡剂造影检查诊断为胃窦部小弯侧溃疡型癌。查体:T37℃、P88次/分、R14/分、BP130/80mmHg。发育正常,营养较差,神志清楚自动体位,查体合作。慢性消耗病容,全身表浅淋巴结不肿大,心肺(一),腹平坦,肝脾不肿大,腹部未扪及包块上腹部剑突下稍偏左有 Stomach double cancers are multi-centered gastric cancers, and there are currently few reports. In our hospital, one case was treated as a cancer with different histological morphology and the same type of cytology, which were isolated in the gastric antrum and pylorus. There was a certain distance between the lesions. There was a gap between the normal gastric mucosa during the operation. as follows. Gao X, male, 61 years old, Luoyang, Henan Province. Beginning in late February 1980, gradually felt upper abdominal discomfort, pain, loss of appetite, dry stools, 2-4 times a day. No acid reflux, belching, vomiting blood, blood in the stool. He once visited a hospital in Luoyang City, Henan Province, and was diagnosed as “stomach cancer” and “new lung biology” through upper digestive tract fistula and chest radiograph. May 28, 1980 to our hospital, on May 30 gastrointestinal tract angiography examination was diagnosed as small antrum cancer side ulcer type cancer. Physical examination: T37°C, P88 beats/min, R14/min, BP130/80mmHg. Normal development, poor nutrition, conscious automatic position, and physical examination. Chronic depletion of disease, superficial lymph nodes are not swollen, heart and lung (a), flat abdomen, liver and spleen is not swollen, abdomen is not palpable, and abdominal mass under the xiphoid slightly left