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A-Ⅰ,贾某某,女,42岁,农民。以上腹部不适半年伴消化不良之主诉就诊。查体:贫血貌、消瘦。左锁骨上窝淋巴结来扪及。心肺(-),腹软,左上腹可扪及一鸡蛋大小的包块,表面有不平感。1987年7月13日胃镜检查见胃小弯垂直部粘膜糜烂,附有灰白苔,胃角消失,胃腕缩小扩张度差,取活组织病检为胃腺癌。患者拒绝手术治疗。于同年11月衰竭死亡。A-Ⅱ,鲁某某,男,44岁,工人,A-Ⅰ之丈夫。以中上腹部坠痛一月,解柏油样便一周之主诉就诊。既往无胃病史,一月内体重减轻5kg。1987
A-I, Jia Moumou, female, 42 years old, farmer. Over six months of complaints of abdominal discomfort associated with indigestion. Physical examination: anemia appearance, weight loss. The left supraclavicular fossa lymph nodes palate. Cardiopulmonary (-), abdomen soft, left upper abdomen can be licked and an egg-sized mass, the surface has a sense of injustice. On July 13, 1987, gastroscopy showed that the mucosa of the vertical part of the small curvature of the stomach erosion, accompanied by gray moss, disappearance of the gastric horn, stomach wrist shrinkage expansion is poor, take biopsy for gastric adenocarcinoma. The patient refused surgical treatment. In November of the same year, it died of exhaustion. A-II, Lu Moumou, male, 44 years old, worker, husband of A-I. The pain in the middle and upper abdomen broke for one month and the chief complaint of treatment for a week of tarry was taken. No previous history of stomach problems, weight loss within 5kg in one month. 1987