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1临床资料患者,男性,77岁。因上腹部无规律疼痛、腰部肿物伴疼痛于2013年12月23日就诊于烟台毓璜顶医院。患者既往长期贫血史,约10余年。查体发现上腹部轻微压痛。查血常规显示:RBC 2.80×10~(12)/L,Hb 90g/L。胃癌肿瘤标志物:CEA 1.9ng/ml,CA19930.69U/ml,CA72-4 9.53U/ml。行胃镜检查显示,胃窦近幽门口小弯处见隆起肿物,表面凹凸不平,结节感,充血,大小约4cm×3cm,质硬。可见胃体溃疡,符
1 clinical data, male, 77 years old. Due to irregular upper abdominal pain, lumbar mass with pain on December 23, 2013 visited Yantai Yuhuangding Hospital. Past history of patients with long-term anemia, about 10 years. Physical examination found a slight tenderness on the abdomen. Blood tests showed: RBC 2.80 × 10 ~ (12) / L, Hb 90g / L. Gastric cancer tumor markers: CEA 1.9ng / ml, CA19930.69U / ml, CA72-4 9.53U / ml. Line gastroscopy showed that the anastomosis of the antrum near the corner of a small turn to see the swelling of the tumor, the surface uneven, nodular flu, congestion, the size of about 4cm × 3cm, hard. Visible gastric ulcer, Fu