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病员王××,67岁,四川石油管理局,红军干部。因上腹部反复疼痛,泛酸、嗳气10年,加重及解黑大便6年。于1966年3月经某医院诊断为胄溃疡恶变,行剖腹探查,术中发现胃小弯侧在胃角切迹处有3×4厘米大小之硬块,表面呈灰白色,胃左右动脉旁及贲门淋巴结群均广泛肿大,质硬。但因体质差,慢支炎伴严重肺气肿,手术仅沿包块周围在胃小弯侧作楔形切除并取胃左动脉旁淋巴结活检。术后病理诊断“胃角切迹处腺癌伴胃左动脉旁淋巴结转移”。用5—氟脲嘧啶及环磷酰胺一个疗程(总量5000毫克、1000毫克)好转出院。以后未继续应用抗癌药物,每年定期复查,情况良好。突于1981年8复感上腹部不适,解黑色大便入院,经纤维光束胃镜检查,发现胃的垂直部有4×4
Patient Wang X, 67, Sichuan Petroleum Administration, Red Army cadres. Due to repeated abdominal pain, pantothenic acid, hernia for 10 years, aggravated reconciliation of black stool for 6 years. In March 1966, diagnosed by a hospital as a malignant ulcer, laparotomy was performed. During the operation, it was found that the small curvature of the stomach had a hard block of 3 × 4 cm in the corner of the gastroscope and the surface was grayish. The right and left gastric arteries and the cardiac lymph nodes were Widely swollen and hard. However, due to poor physiology, chronic bronchitis with severe emphysema, surgery only along the mass around the small curved side of the wedge for resection and take the left gastric artery biopsy. Postoperative pathological diagnosis “adenocarcinoma with gastric adenocarcinoma with lymph node metastasis”. A course of treatment with 5-fluorouracil and cyclophosphamide (total 5000 mg, 1000 mg) was improved and discharged. Anti-cancer drugs have not been applied in the future and are reviewed regularly every year. Suddenly he felt discomfort in the upper abdomen on 8 August 1981. He was admitted to a hospital with black stools. After a fiberoptic gastroscopy, he found that the vertical part of the stomach had 4×4.