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患者,64岁。患者上腹部不适1个月,并伴返酸,食欲减退。查体仅上腹部剑突下方有压痛,其余均正常。胃镜检查胃体大弯侧可见两处直径为0.8cm的溃疡,提示胃溃疡。B超检查;饮水后观察胃小弯前壁、胃体后壁明显增厚,范围较广约7.0cm×1.0cm。胃壁厚1.5cm,粘膜面回声强,表面凸凹不平,浆膜回声增强,胃壁肿瘤呈突质性均匀的低回声,周围未见肿大淋巴结。B超报告:胃占位性病变(溃疡型胃癌)侵及浆膜层。
Patient, 64 years old. The patient suffered discomfort in the upper abdomen for 1 month, with acid reflux and loss of appetite. There was tenderness under the xiphoid process on the upper abdomen, and the rest were normal. Gastroscopy examination of the body side of the curvature of the two visible diameter of 0.8cm ulcers, suggesting gastric ulcer. B-ultrasound; drinking water observed after the small gastric anterior wall, gastric body thickening significantly, a wider range of about 7.0cm × 1.0cm. The stomach wall thickness was 1.5 cm, the mucosal surface echo was strong, the surface was uneven, and the serosa echo was enhanced. The stomach wall tumor showed a uniform, low-echo of lumpy mass, with no enlarged lymph nodes around. B-ultrasound report: Gastric space-occupying lesions (ulcerative gastric cancer) invade serosa.