患者男性,39岁。因胃区疼痛15天伴黑便2天入院。查体:中度恶病质,贫血貌。胃前区可触及巨大肿物,质硬,界限不清,活动度差。CT示胃小弯侧肿物,大小15 cm×10 cm,胃腔严重变形、容积变小。行根治性胃肿瘤切除术。患者术后19个月死亡。病理检查巨检:切除的远端胃,大弯长21 cm,小弯长10 cm。沿大弯剪开,小弯侧见一隆起溃疡型肿物,大小15 cm×11 cm×3 cm,肿物切面灰白,质硬,侵犯胃壁全层。 Male patient, 39 years old. 15 days due to stomach pain with melena 2 days admission. Physical examination: moderate cachexia, anemia appearance. Stomach area can reach a huge tumor, hard, unclear, poor activity. CT showed gastric lesser curvature side of the tumor, the size of 15 cm × 10 cm, severe deformation of the gastric cavity, the smaller the volume. Radical gastrectomy. The patient died 19 months after surgery. Pathological examination of macroscopic examination: resected distal stomach, large bend 21 cm, a small bend 10 cm. Cut along a big bend, a small ulnar side of the ulceration seen a bulge, the size of 15 cm × 11 cm × 3 cm, the tumor section gray, hard, violation of the full-thickness stomach.