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病历摘要患者男,57岁,因反复上腹隐痛2年余入院。患者平常体健,有饮酒及吸烟史多年。1994年曾患十二指肠溃疡,治疗后痊愈。2005年6月因上腹隐痛2个月就诊于浙江某医院,胃镜检查见胃角小弯6 mm×8 mm溃疡,底部覆黄白苔,周围黏膜充血水肿,诊断为胃角溃疡(A1期),活检病理报告符合消化性溃疡,部分腺体轻-中度异型增生伴肠化(图1A)。患者口服质子泵抑制剂后症状显著改善,同年8月复
Patient summary Male, 57 years old, because of repeated abdominal pain more than 2 years admitted to hospital. Patients usually healthy, have a history of drinking and smoking for many years. Have suffered from duodenal ulcer in 1994, healed after treatment. June 2005 due to abdominal pain 2 months visit a hospital in Zhejiang Province, gastroscopy found corner small bend 6 mm × 8 mm ulcer, the bottom of yellow and white moss, surrounding mucosal congestion and edema, the diagnosis of gastric ulcer (A1) , Biopsy pathology report consistent with peptic ulcer, some glands mild to moderate dysplasia with intestinal metaplasia (Figure 1A). Patients after oral proton pump inhibitor symptoms improved significantly, the same year in August complex