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1例61岁家庭妇女,诊断为胃溃疡已2年,其间她有多次腹部绞痛、消化不良和1次严重的上消化道出血,经甲氰咪胍和抗酸药治疗有改善,但不能完全缓解症状,并有贫血。后经X线和内窥镜检查并行手术切除,发现在幽门前区有1个大的胃脂肪瘤,基底3cm,长5cm,直径4cm。胃脂肪瘤是一种少见肿瘤。其病因不明,可能为胚胎期异位的脂肪组织。由于它仅发现于老年人,所以也可能与后天因素有关。常为单发,没有性别和种族差异。可发生在胃的不同部位,但发生于胃窦者最为多见。外表常呈光滑、圆形、无蒂,但可有明显的分叶和深的溃疡。临床症状可表现为消化道出血、腹痛、胃排空受
A 61-year-old domestic woman diagnosed with gastric ulcer for 2 years had multiple abdominal cramps, indigestion and 1 severe upper gastrointestinal hemorrhage with improved treatment with cimetidine and antacids Can not completely relieve symptoms, and anemia. After X-ray and endoscopic examination and surgical resection, found in the pyloric area has a large gastric lipoma, basal 3cm, length 5cm, diameter 4cm. Gastric lipoma is a rare tumor. The etiology is unknown, may be ectopic fat tissue of the embryo. Because it is only found in the elderly, it may also be related to acquired factors. Often single, there is no gender and ethnic differences. Can occur in different parts of the stomach, but occurred in the most common gastric antrum. Appearance often smooth, round, no pedicle, but there may be obvious leaves and deep ulcers. Clinical symptoms can be manifested as gastrointestinal bleeding, abdominal pain, gastric emptying by