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多原发癌瘤是一组颇具有特征性疾病。随着恶性肿瘤诊疗水平的不断提高,肿瘤患者的寿命普遍延长,因而患者发生另一个癌瘤的机会也随之增加。近年来国内曾有文献报道,但在临床上易误漏诊。我科曾收治4例患者报告如下:例1:男性,64岁,因反复上腹部隐痛8年,症状加重10天,于1985年7月4日入院。查体:无阳性体征。胃镜:胃体溃疡癌变。即行胃大部分切除术,病理报告:胃腺癌(局限于粘膜层)。经FAM方案1个疗程,一股情况佳,而出院随访。1989年8月29日,因腰部酸痛10天再次
Multiple primary cancers are a group of fairly characteristic diseases. With the continuous improvement of the level of diagnosis and treatment of malignant tumors, the life expectancy of cancer patients is generally extended, and the chance of another cancer occurring in patients also increases. In recent years, there have been reports in the country, but it is easy to mistakenly miss the diagnosis in clinical practice. In our department, 4 patients were reported as follows: Case 1: Men, 64 years old, admitted to hospital on July 4th, 1985 because of repeated abdominal pain for 8 years and symptoms worsening for 10 days. Physical examination: No positive signs. Gastroscope: Gastric body ulceration and canceration. That is, a major gastrectomy, pathology report: gastric adenocarcinoma (confined to the mucosal layer). After one course of treatment with the FAM program, one case was good and was followed up for discharge. On August 29, 1989, due to lower back pain for 10 days again