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[目的]报道1例胃癌腹股沟淋巴结转移的病例以指导临床。[方法]报道本院诊治的1例病例,探讨胃癌转移机制、常规转移途径及其特殊转移途径,阐述其对临床治疗的指导作用。[结果]本文报道了1例胃癌伴腹股沟淋巴结转移的病例,患者老年男性,54岁,因“反复上腹部疼痛10年”入院。胃镜提示:胃体巨大溃疡性质待定。病理报告示:胃腺癌。盆腔CT:两侧腹股沟及盆腔内多发淋巴结,部分肿大,请结合临床。穿刺病理:(左侧腹股沟淋巴结穿刺)转移性腺癌。肿瘤指标:甲胎蛋白9.28μg/L,癌胚抗原15.16μg/L,糖类抗原19-9 1998.00kU/L。根据检查结果考虑此处为胃癌转移来源,放弃手术治疗,予TCF方案化疗,患者病情稳定。[结论]胃癌腹股沟淋巴结转移是较少见的胃癌转移途径,文献也少有报道此类病例,加深对淋巴结转移途径的了解能提高确诊率。
[Objective] To report a case of gastric cancer with inguinal lymph node metastasis to guide clinical. [Method] Report a case of hospital diagnosis and treatment of gastric cancer metastasis, conventional metastasis and its special route of transfer, described its guiding role in clinical treatment. [Results] A case of gastric cancer with inguinal lymph node metastasis was reported in this paper. The aged male patient, aged 54, was hospitalized because of “repeated upper abdominal pain for 10 years”. Gastroscopy Tip: Gastric ulcer nature to be determined. Pathology report shows: gastric adenocarcinoma. Pelvic CT: both sides of the groin and pelvic lymph nodes, part of the enlargement, combined with clinical. Puncture pathology: (left inguinal lymph node puncture) metastatic adenocarcinoma. Tumor index: Alpha-fetoprotein 9.28μg / L, carcinoembryonic antigen 15.16μg / L, carbohydrate antigen 19-9 1998.00kU / L. According to the examination results here considered the source of gastric cancer metastasis, to give up surgery, to TCF regimen chemotherapy, patients with stable condition. [Conclusion] The inguinal lymph node metastasis of gastric cancer is a rare path of gastric cancer metastasis. There are few reports of such cases in the literature, so to deepen the understanding of lymph node metastasis can improve the diagnosis rate.