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例1 男,37岁。以上腹疼痛1年,加重伴恶心、呕吐、黑便2月主诉入院。发病以来曾按“十二指肠球部溃疡”服“抑酸药”症状可缓解。既往史阴性。查体无阳性发现。钡餐:胃窦癌。胃镜镜下诊断:胃窦癌。胃镜活检病理报告:胃窦粘膜重度慢性炎伴坏死。手术探查:肿瘤位于胃窦前后壁及小弯侧,约8cm×6cm×6cm,浸及胃壁全层,胃周淋巴结第3、4、5、6组肿大,其余腹腔内脏器未见异常。术中考虑:胃癌。行“根治性远端胃大部切除术”,术后病理报告。胃窦假性淋巴瘤伴溃疡形成,胃周淋巴结反应性增生。痊愈出院。
Example 1 Male, 37 years old. Over 1 year of abdominal pain, aggravated with nausea, vomiting, and black stools were admitted to hospital in February. Since the onset of illness, he had been relieved by taking “disease bulb” ulcers and taking “acid suppression” symptoms. Past history negative. No positive findings were found. Barium meal: gastric cancer. Endoscopic diagnosis: gastric antrum cancer. Gastric biopsy pathology report: Gastric antral mucosa severe chronic inflammation with necrosis. Surgical exploration: The tumor was located in the anterior and posterior walls of the gastric antrum and the small curved side, about 8cm × 6cm × 6cm, soaked in the full layer of the stomach wall. The 3rd, 4th, 5th, and 6th groups of lymph nodes around the stomach were enlarged, and no other abnormalities were found in the internal organs of the abdominal cavity. Intraoperative considerations: Gastric cancer. The “radical distal gastrectomy” was performed and postoperative pathology was reported. Gastric sinus pseudo-lymphoma with ulceration, reactive lymph node resorption. He was discharged.