自本世纪初以来,关于药良性胃溃病的基础上是否可以发生癌变,一直存有争议。本文作者报告一例在胃镜追踪观察十年后发现的、在己愈合七年的溃疡疤痕上发生的腺胃癌。患者男性,52岁,1970年因上腹疼痛三年,经抗酸治疗效果不明显,进行胃镜检查发现,胃小弯角部有一直经为2 Cm 的外观良性溃疡,胃粘膜活检无恶 Since the beginning of this century, it has been controversial whether carcinogenesis can occur on the basis of benign gastric ulcer disease. The authors report a case of adenocarcinoma of the stomach, which was found 10 years after gastroscopic follow-up and on the ulcer scar that has healed for seven years. Male patient, 52 years old, in 1970 due to epigastric pain for three years, the effect of acid therapy is not obvious, gastroscopy found at the corner of the stomach has been by 2 cm appearance of benign ulcer, gastric mucosal biopsy without evil