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男,38岁,5年前因上腹疼痛不适,钡餐X线检查诊断为胃窦炎。半年来症状加重,伴全身乏力,胃镜检查见胃窦部粘膜呈萎缩性胃炎改变,粘膜充血水肿,红白区相间,红区粘膜隆起,白区稍凹陷,在胃角部见3mm×3mm大之隆起,表面轻度糜烂充血,取活检3块,病理报告为粘膜下腺癌。行胃次全切除术,病理报告为早期腺癌。讨论:中年以上有消化道症状者,进行纤维胃镜检查是目前早期发现胃癌的重要手段。Ⅰ型,
Male, 38 years old, 5 years ago due to abdominal pain and discomfort, barium meal X-ray examination was diagnosed as antral gastritis. Symptoms increased in the past six months, with generalized fatigue, gastroscopic mucosal changes in the gastric antrum showed atrophic gastritis, mucosal congestion and edema, red and white areas, red mucosal uplift, white area slightly depressed, see 3mm × 3mm in the corner of the stomach The uplift, the surface of mild erosion, congestion, take 3 biopsy, pathology report for submucosal adenocarcinoma. Gastric subtotal resection was performed and the pathology report was early adenocarcinoma. Discussion: Gastroscopic examination is an important method for the early detection of gastric cancer. Type I,