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我院自1985年至1989年胃镜检查发现胃血吸虫病共5例,其中合并胃癌4例,男性3例。女性1例。年龄44～65岁,平均58岁。均为农民。上腹部不规则隐痛、胀痛2个月至1年不等。一般药物治疗效果均不佳。3例胃镜下见胃小弯巨大溃烂灶,向下延伸至幽前门。1例贲门下小弯39～43cm处巨大溃烂灶。表面均有污秽、组织脆、易出血。4例均作胃粘膜活检诊为胃癌.并发现已钙化的血吸虫卵。虫卵沉着部位,1例在癌灶中,1例在癌灶边缘部位,2例在癌组织外窦部组织内。虫卵在胃粘膜固有层或粘膜
In our hospital from 1985 to 1989, gastric schistosomiasis was found in 5 cases, including 4 cases of gastric cancer and 3 cases of male. 1 female. Age 44 to 65 years, average 58 years old. All farmers. Abdominal irregular pain, pain ranging from 2 months to 1 year. General medical treatment is not effective. 3 cases of gastric ulcer under the gastroscopic giant lesions, extending down to the quiet front door. In 1 case, there was a huge ulceration lesion at the 39~43cm of a small bend under the fontanelle. The surface is filthy, crisp, and easy to bleed. All 4 cases had gastric mucosa biopsy diagnosed as gastric cancer and found calcified schistosome eggs. The site of egg deposition was 1 in the foci, 1 in the margin of the foci, and 2 in the outer sinus tissue of the cancer tissue. Eggs in the lamina propria or mucous membrane