胃脂肪瘤少见,和贲门癌并存更少见,现报告1例。女患,60岁,农民,因进行性进食受阻3月余,不吐,无呕血、便血史。近1月来受阻,症状加重,伴有食后上腹部疼痛,经X线钡检疑贲门癌。体检:神清,发音中等,轻度贫血貌,巩膜、皮肤无黄染,颈软,颈部及锁骨上淋巴结不肿大,两侧胸廓对称,心肺正常,腹平软,上腹部轻度压痛,无反跳痛,未扪及肿块,肝脾未及、肠鸣音正常,肛指无异常发现。X线钡剂检查示贲门部管腔狭窄,粘膜破坏,周围见有软组织块影。常规化验和脏器功能检查均在正常范围。 Stomach lipomas are rare and coexist with the cardia cancer. One case is now reported. Female sufferers, 60 years old, farmers, because of progressive eating blocked more than three months, do not spit, no vomiting blood, blood in the stool. In recent months, the symptoms were aggravated, with pain in the upper abdomen after eating, and X-rays were used to examine suspected cardiac cancer. Physical examination: Shen Qing, moderate pronunciation, mild anemia appearance, sclera, no yellow skin, soft neck, no enlargement of the neck and supraclavicular lymph nodes, bilateral thoracic symmetry, normal heart and lung, flat abdomen, mild tenderness in upper abdomen , No rebound tenderness, no palpable mass, no liver and spleen, normal bowel sounds, no anal findings. X-ray barium examination showed that the lumen of the fontanelle was narrow and the mucous membrane was damaged. Soft tissue shadows were seen around. Routine tests and organ function tests were within normal limits.