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胃粘膜一点癌临床少见,我院从1990年3月至1994年7月共进行1700例胃镜检查,发现1例胃粘膜一点癌,现报道如下:患者男,42岁。因工作疲劳后觉上腹闷痛1个月,服胃药症状未减而行胃镜检查。胃镜示胃窦部小弯侧直径为0.2cm不规则糜烂灶,上披薄白苔,周围粘膜轻度充血。取组织送病理检查,结果为高分化腺癌。半个月后行胃大部切除,检查胃壁软,未见肿块,胃旁淋巴结不大。切开胃壁见胃窦部小弯侧有0.2cm糜烂灶,胃标本作连续节段切片检查,未再发现癌组织,随访4年健在。
Gastric mucosal cancer is rare in clinical practice. From March 1990 to July 1994, 1,700 gastroscopic examinations were performed in our hospital. One case of gastric mucosa was found to be cancerous. The report is as follows: The patient was male, 42 years old. After working tired for 1 month, she experienced abdominal pain for 1 month and her stomach symptoms were not reduced. The gastroscope showed an irregular erosive lesion with a diameter of 0.2 cm on the small curved side of the gastric antrum, with a thin white coating on top and mild congestion of the surrounding mucosa. The tissue was sent for pathological examination and the result was well-differentiated adenocarcinoma. Half a month later, the gastrectomy was performed and the stomach wall was checked for softness. No lumps were found, and the paragastric lymph nodes were not large. Cut off the appetite wall to see 0.2cm morselella lesions on the small antrum side of the gastric antrum. The stomach specimens were used for continuous section biopsies and no cancer tissue was found. Follow-up was 4 years.