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例一,男,69岁,病案号66049。因上腹部无规律性疼痛20余年,近半年来症状加重,入院诊治。纤维胃镜检查见贲门下2～3cm小弯侧和前壁有一4×5cm大小溃疡,细胞刷涂片找到癌细胞(腺癌),诊为贲门癌。行全胃切除,食道空肠端端Rou-en-y吻合术。术中发现胃底部贲门下1cm,胃后壁有一直径3cm大小硬块,肿块周有少数增大淋巴结。术后恢复良好。病理诊断:(1)胃贲门类癌;(2)萎缩性
Case 1, male, 69 years old, medical record number 66049. Because of the irregular pain in the upper abdomen for more than 20 years, the symptoms have worsened in the past six months and they have been admitted to hospital for treatment. Gastric endoscopy showed a 4×5cm ulcer on the small curved side and anterior wall of 2～3cm below the cardia. The cells were brushed to find cancer cells (adenocarcinoma) and diagnosed as cardiac cancer. Complete gastrectomy, Rou-en-y anastomosis of esophageal jejunum. In the operation, the stomach was found to be 1 cm below the fontanelle, and the posterior wall of the stomach had a hard block with a diameter of 3 cm. There were a few enlarged lymph nodes around the tumor. Good recovery after surgery. Pathological diagnosis: (1) gastric cardia carcinoid; (2) atrophic