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1病历资料患者男,69岁,以“反复上腹部不适2个月,逐渐加重”于2011年7月就诊于我院。查体:剑突下压痛阳性,余无阳性体征。实验室检查:甲胎蛋白(AFP)>1210μg/L,癌胚抗原(CEA)1.73μg/L,CA125 6.3 U/L,CA199 2.3 U/L,乙肝表面抗原阴性,乙肝抗体>1000 U/L;胃镜检查示胃体及胃角之间可见巨块样肿物,大小约6 cm×7 cm,向下浸润至幽门口小弯侧,肿物有糜烂及出血,病理提示腺癌,HER-2 FISH检查为阴性;全腹CT提示胃角区
1 patient records Patient male, 69 years old, with “repeated upper abdominal discomfort for 2 months, gradually increased ” in July 2011 in our hospital. Examination: Xiphoid tenderness positive, I no positive signs. Laboratory tests: AFP> 1210μg / L, carcinoembryonic antigen (CEA) 1.73μg / L, CA125 6.3U / L, CA199 2.3U / L, HBsAg negative, HBsAg> 1000U / L ; Gastroscopy showed that between the body and stomach horns visible massive mass, the size of about 6 cm × 7 cm, infiltration down to the lesser curvature of the pylorus, tumor erosion and bleeding, the pathology prompted adenocarcinoma, HER- 2 FISH negative; full abdominal CT prompt corner of the stomach