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患者,男,65岁,因上腹部不适伴进行性消瘦前来我院就诊。自感胃部不适,上腹部痛,有堵塞感,无恶心、呕吐,有时腹泻,无反酸,嗳气,不思饮食,消瘦明显,无发热,多汗,全身乏力。查体:精神差,消瘦明显,浅表淋巴结无肿大。剑突下偏左可触及一约6.0cm×3.5cm包块,质较硬,可移动。追问病史,患者有二十多年胃病史,从未进行任何检查,常服乳酸菌素片治疗,未出现呕血及黑便。入院前该病人曾在外院就诊。拒绝胃镜及X线钡剂检查。
The patient, male, 65 years old, came to our hospital for abdominal discomfort with progressive weight loss. Feeling of stomach discomfort, epigastric pain, a sense of blockage, no nausea, vomiting, sometimes diarrhea, no acid reflux, belching, no diet, weight loss, no fever, excessive sweating, general malaise. Physical examination: poor mental health, obvious weight loss, no enlargement of superficial lymph nodes. The xiphoid can touch a 6.0cm×3.5cm mass on the left side of the xiphoid. The mass is hard and can be moved. Inquiring about the history of the illness, the patient has had a history of stomach problems for more than 20 years. He has never undergone any examination, he has been treated with lactic acid bacteria tablets, and hematemesis and melena have not occurred. The patient had been seen in an outside hospital before admission. Refused to endoscopy and x-ray tincture.