残胃瘤血行播散皮下广泛转移者,临床罕见,1987年我科收治一例,现报告如下。 病例报告 患者男,53岁。1970年因患十二指肠球部溃疡反复出血,而行胃大部切除术(Bill-rothⅡ式)。1986年10月发现右臀部肿块约花生米大小,以后增大较快。头皮、左下眼硷,胸背部等处皮下相继出现类似肿块,不痛不痒。至1987年4月行右臀部皮下肿块活检,提示转移性腺癌,与此同时发现柏油样黑便。胃镜检查:残胃容量250毫升左右,胃 Hematogenous remnant hematoma spread extensive subcutaneous metastases, clinical rare, in 1987 our department received a case, the report is as follows. Case Report Patient Male, 53 years old. In 1970, a gastrectomy (Bill-roth II type) was performed due to repeated bleeding from a duodenal ulcer. In October 1986, the right hip mass was found to be about the size of peanuts, which later increased rapidly. The scalp, left lower eyelid, chest and back, etc. have similar lumps under the skin, which is superficial and punishing. In April 1987, a biopsy of a subcutaneous tumor of the right hip was performed, suggesting metastatic adenocarcinoma, and at the same time, tarry black stool was found. Gastroscopy: residual stomach capacity of about 250 ml, stomach