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例1 男,39岁。因上腹痛伴嗳气4年,于1991年5月15日做胃镜检查,见胃小弯部粘膜有脐状小隆起,直径约0.8cm,表面糜烂充血,取局部组织3块送检。病理报告:腺癌,中度分化,未侵犯粘膜肌层。同年5月20日行剖腹探查,术中胃未触及肿块,切开胃壁,见胃小弯后壁有0.7cm充血糜烂区,行胃癌根治术。标本作系列切片详细检查,未再找到癌组织。术后10天痊愈出院。术后5年4次胃镜复查未见癌复发。最后诊断:胃粘膜“一点癌”。
Example 1 Male, 39 years old. Due to epigastric pain associated with hernia for 4 years, a gastroscopy was performed on May 15, 1991. See the umbilical small uplift in the small curvature of the stomach. The diameter is about 0.8cm, and the surface is eroded and congested. Take 3 pieces of local tissue for examination. Pathology report: Adenocarcinoma, moderately differentiated, without invasion of mucosal muscularis. On May 20th of the same year, laparotomy was performed. The stomach did not touch the mass during the operation, and the appetite wall was cut. The gastric wall was found to have a 0.7cm congestive and erosion area at the posterior wall of the minor curvature. The specimens were examined in detail and no cancer tissue was found. He was discharged after 10 days of surgery. No recurrence of cancer was seen after 4 times of 5 years of gastroscopy. Final diagnosis: gastric mucosa “a little cancer.”