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1病历摘要患者男性,47岁。中上腹疼痛4月,发现贫血1月。患者今年3月起出现中上腹疼痛,呈发作性疼痛,无明显诱因和缓解因素。无恶心、呕吐、食欲减退、排便习惯改变及黑便。1周前外院就诊,粪隐血(+),Hb 99g/L,腹部CT提示:胃胰间隙欠清,胃小弯侧淋巴结肿大。PET/CT提示:胃窦部胃壁增厚,FDG摄取增高,考虑胃窦癌并胃窦周围多发淋巴结转移。胃镜示(图1):胃窦部黏膜充血,前壁见一巨大溃疡,底部覆白苔,周边环堤状隆起,提示胃窦癌。拟“胃癌”收治入院。6个月体重减轻6kg。乙肝病毒“小三阳”。其父
1 medical records summary male patient, 47 years old. Abdominal pain in April, found anemia in January. In March this year, patients with moderate to severe abdominal pain, was episodic pain, no obvious incentive and mitigating factors. No nausea, vomiting, loss of appetite, altered bowel habits and melena. A week ago, the hospital treatment, excrement occult blood (+), Hb 99g / L, abdominal CT tips: lack of clearance of the stomach and the pancreas, gastric lesser curvature of the lymph nodes. PET / CT Tip: Gastric antrum thickening of the stomach, FDG uptake increased, consider the gastric antrum and multiple gastric lymph nodes around the antrum metastasis. Gastroscopy (Figure 1): gastric mucosa congestion, anterior ulceration seen a large wall at the bottom covered with white moss, the surrounding ring embankment uplift, suggesting that gastric cancer. To be “Gastric cancer ” admitted to hospital. 6 months weight loss 6kg. Hepatitis B virus “Sanyang”. His father