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我院从1986年1月至1997年6月经内镜和手术病理证实的弥漫浸润型胃癌共59例,其中初次就诊时漏误诊者18例,占30.5％。现就这些病例的特点分析如下。1临术资料18例中年龄最小者29岁,最大者63岁,平均44岁,女性5例,男性13例,病程2月至1年半。临床表现:上腹疼痛9例,腹胀6例,纳差消瘦4例,腹水3例,恶心呕吐2例,腹泻2例。镜下表现:胃壁僵硬蠕动差4例,粘膜粗糙不平,呈颗粒样增生3例,浅糜烂、浅溃疡3例,粘膜皱襞粗大1例,粘膜局部褪色或局部弥漫红肿2例,胃腔小5例。镜检次数及活橙情
In our hospital from January 1986 to June 1997, 59 cases of diffuse infiltrating gastric cancer confirmed by endoscopy and surgical pathology, of which 18 cases were misdiagnosed during the initial visit, accounting for 30.5%. The characteristics of these cases are analyzed as follows. 1 Pro-operation data The youngest of the 18 cases were 29 years old, and the largest was 63 years old, with an average age of 44 years, 5 women, and 13 men. The disease duration ranged from February to 1 year and a half. Clinical manifestations: 9 cases of epigastric pain, 6 cases of abdominal distension, 4 cases of atexia weight loss, 3 cases of ascites, 2 cases of nausea and vomiting, 2 cases of diarrhea. Microscopic findings: Abnormal peristalsis of the stomach wall was poor in 4 cases, mucosa was rough and uneven, there were 3 cases of particle-like hyperplasia, 3 cases of superficial erosion, superficial ulcer, 1 case of thick mucosal fold, 2 cases of mucosal local discoloration or partial diffuse redness, and 5 cases of gastric cavity 5 example. Microscopic examination times and live orange