论文部分内容阅读
患者女,54岁。于1973年10月因胃窦部腺癌,行根治性远端胃大部切除术。术中探查,无腹水,肝脏正常,腹主动脉旁及膀胱直肠窝未扪及转移性结节。肿瘤位于胃窦部小弯侧,侵及浆膜层,但未穿破浆膜。大网膜内见黄豆大淋巴结一枚,质地中等。病理诊断:溃疡型腺癌,侵及胃壁全层,大网膜淋巴结有癌转移。术后恢复顺利。于术后第二周开始行化疗,给予5—Fu静脉滴注,总量10g为一个疗程。此后按此方案三个月,半年,一年化疗一次,持续一年零9个月。胃癌术后两年余,诉月经失调,妇科检查发现右侧卵巢增大,并触及拇指头大小硬结。拟诊卵巢转移瘤。于1977年10月行剖腹探查术。术中见右侧卵巢较对侧增大,表面呈结节状。同时于横结肠中段偏左侧触及拇指头大小肿块。腹腔其它脏器无异常发现。行全子
Female patient, 54 years old. In October 1973 due to adenocarcinoma of the gastric antrum, a radical distal gastrectomy was performed. Intraoperative exploration, no ascites, normal liver, abdominal aortic and bladder rectal fossa and metastatic nodules. The tumor was located on the minor curvature side of the gastric antrum and invaded the serosal layer but did not penetrate the serosa. In the omentum, we saw a large lymph node of soybeans with medium texture. Pathological diagnosis: ulcerative adenocarcinoma, invading the entire layer of the stomach wall, metastatic lymph nodes metastasis. After the recovery smoothly. The second week after surgery began chemotherapy, intravenous infusion of 5-Fu, a total of 10g for a course of treatment. After this, the protocol was followed by three months, six months, and one year of chemotherapy, which lasted one year and nine months. More than two years after gastric cancer, she complained of irregular menstruation. A gynecological examination revealed that the right ovary increased and touched the size of the head of the thumb. Ovarian metastases are expected to be diagnosed. A laparotomy was performed in October 1977. During surgery, the right ovary was enlarged compared with the contralateral side and the surface was nodular. At the same time in the middle of the transverse colon to touch the thumb head size mass. No abnormalities were found in other organs in the abdominal cavity. All children