胃肝样腺癌,指原发于胃粘膜具有向腺癌和肝细胞样癌双相分化的腺癌。本癌国外有少量报告,国内尚未见报告。作者复习本单位术后10年以上的629例胃癌时发现1例。鉴于罕见,特做报告。病例摘要男,61岁。有10余年胃疼史。因纳差、上腹胀满和明显消瘦3个月就诊。体检:腹部饱满,稍隆起,轻度肌紧张,无压痛,腹壁静脉曲张尤以上腹为甚,肠鸣亢进,腹水征阳性,未触及肿块。化验室检查无异常。钡餐透视:胃明显扩张,液体潴留,胃窦区粘膜影像不清晰,胃壁蠕动性差,钡剂通过困难,但无明显充盈缺损。印象为幽门梗阻,肿瘤所致可能性大。开腹探查:少量腹水。肿物占据整个幽门窦,并在小弯侧向外形成肿块,但与周 Gastric hepatoid adenocarcinoma, which refers to an adenocarcinoma with biphasic differentiation to adenocarcinoma and hepatocellular carcinoma, which is primary in the gastric mucosa. There have been few reports of foreign cancers in this country and no reports have been reported in the country. The authors reviewed one case of 629 cases of gastric cancer after more than 10 years of operation in this unit. Given rare, special reports. Case summary Male, 61 years old. There are more than 10 years of history of stomach pain. Inhabitation, abdominal fullness and marked weight loss for 3 months. Physical examination: full abdomen, slightly elevated, mild muscle tension, no tenderness, abdominal varicose veins especially above the abdomen, hyperthyroidism, positive ascites, did not touch the mass. There is no abnormality in laboratory tests. Barium meal perspective: The stomach is significantly dilated, fluid retention, mucosal images in the gastric antrum area are not clear, the peristalsis of the stomach wall is poor, and the tincture is difficult to pass, but there is no obvious filling defect. Impression of pyloric obstruction, the possibility of tumor caused by large. Laparotomy: A small amount of ascites. The tumor occupies the entire pyloric sinus and forms a lump outside the small curve, but with the week