本期读片窗答案姚忠民周世铮患者钡餐检查后，我们诊断胃幽门狭窄，以恶性可能大，胃小弯溃疡。胃镜：胃角溃疡、胃窦炎，但不能除外恶性病变可能。术中所见：胃幽门壁环形增厚，质硬，剜除一块送病检，冰冻切片报告见异型细胞，故行胃大部切除术。腹腔内未见癌转移结节。... This review window answer Yao Zhongmin Zhou Shizhen After the patient’s barium meal examination, we diagnose the stomach pyloric stenosis, with the possibility of malignancy, gastric minor ulcers. Gastroscopes: Gastric ulcers, antral gastritis, but not malignant lesions may be excluded. Seen in the surgery: The gastric pyloric wall was thickened in a ring shape, and the quality was hard. One piece was sent for examination, and the frozen section was reported to have atypical cells. Therefore, a gastrectomy was performed. No metastatic nodules were seen in the abdominal cavity. ...