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患者女性,56岁。无明显诱因出现上腹饱胀感伴腹胀半月余,进食、饮水后明显。查体:腹部膨隆,移动性浊音(+)。腹部CT示腹腔大量积液及网膜饼样改变。腹水脱落细胞学检查示散在异型细胞,考虑为肿瘤细胞。腹水生化:乳酸脱氢酶290U/L。胃镜示胃息肉(活检钳除)、胃体外压性病变(不除外间质瘤),胃小弯侧类圆形异常密度。临床考虑肿瘤转移所致。肿瘤标记物:糖类抗原CA72-4:
Patient female, 56 years old. No obvious incentive to appear abdominal fullness with abdominal distension more than half a month, eating, drinking obvious. Physical examination: abdominal bulge, dullness of mobility (+). Abdominal CT showed abdominal a large number of effusion and omentum cake-like changes. Ascites exfoliative cytology showed scattered in abnormal cells, considered as tumor cells. Ascites biochemistry: lactate dehydrogenase 290U / L. Gastroscopy showed gastric polyps (biopsy forceps), gastric extracorporeal pressure lesions (excluding stromal tumors), gastric curvature side round abnormal density. Clinical considerations due to tumor metastasis. Tumor Markers: Carbohydrate Antigen CA72-4: