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患者,男,66岁。因“上腹部饱胀不适,伴阵发性疼痛1个月”于2013-5-13入院。查体:患者发育正常,营养中等,体型正常;浅表淋巴结未触及肿大;腹部平坦,未见胃肠型及蠕动波,腹部无压痛、反跳痛,腹部未触及包块,肠鸣音正常。患者有“高血压、冠心病”病史,无手术史。实验室检查基本正常,肿瘤标记物(CEA、CA72-4、CA19-9)在正常范围内。胃镜诊断:胃窦小弯侧见不规则肿物,凹凸不平,累及胃角。病理结果:(胃活检)低分化腺癌。上腹部
Patient, male, 66 years old. Because of “abdominal fullness discomfort, with paroxysmal pain 1 month ” in 2013-5-13 admission. Physical examination: patients with normal development, moderate nutrition, normal body size; superficial lymph nodes did not touch the swelling; flat abdomen, no gastrointestinal and peristaltic waves, no tenderness and abdomen, rebound tenderness, abdomen not touched the mass, bowel sounds normal. Patients have “high blood pressure, coronary heart disease ” history, no history of surgery. Laboratory tests were basically normal, tumor markers (CEA, CA72-4, CA19-9) within the normal range. Gastroscopy diagnosis: small irregular side of the antrum see irregular mass, uneven, involving the stomach. Pathological results: (gastric biopsy) poorly differentiated adenocarcinoma. upper abdomen