消化道两重原发癌少见,现报告1例。 男性患者,51岁,干部,因上腹部不适,进食受阻一月就诊。经上消化道钡检发现贲门部钡剂充盈缺损,纤维胃镜检查见贲门部不规则隆起,周围有糜烂出血,诊断贲门癌。在全麻下取左侧胸腹部联合切口探查,腹腔内小肠腹壁,和胃均有较重粘连。分离后检查见贲门部4×3cm溃疡性肿块,无明显淋巴结转移,作胃倒次全切除术,在腹腔内作食管胃端之吻合术,术后13天痊愈出院。病理诊断:贲门腺癌,无淋巴结转移。 15年前(36岁)腹痛便血二月余,经X线钡剂灌 Two primary cancers of the digestive tract are rare and are now reported in 1 case. In male patients, 51 years old, cadres, due to upper abdominal discomfort, eating was blocked in January. In the upper digestive tract examination, it was found that there was a filling defect in the fontanelle area, and the gastroscopic examination showed irregular swelling of the fontanelle, surrounded by erosion bleeding, and diagnosis of cardiac cancer. Under general anesthesia, the left chest and abdomen combined incision was taken to explore the abdominal wall of the small intestine, and the stomach had heavy adhesions. After the separation, a 4×3cm ulcer mass was seen on the fontanelle, no lymph node metastasis was observed, and subtotal gastrectomy was performed. The anastomosis of the esophagogastric end was performed in the abdominal cavity. He was discharged after 13 days of surgery. Pathological diagnosis: Cardiac adenocarcinoma, no lymph node metastasis. 15 years ago (36 years old), abdominal pain, blood in the stool, more than 2 months, X-ray tube filling