胃癌术后皮下粟粒样播散转移一例
CHINESE JOURNAL OF GENERAL SURGERY（2003）
Abstract
患者男,59岁.确诊为胃贲门癌放弃治疗2年后因进行性吞咽困难、腹痛、纳差、黑便、消瘦1个月入院.查体:消耗体质.上腹正中压痛,未扪及包块,肝脾未触及,腹水征阴性.粪便潜血阳性.胸片及腹部B超检查未见肺、肝、淋巴结及腹腔转移.行剖腹探查术,术中见癌灶位于贲门小弯侧后壁约3.5 cm×4.0 cm,穿透浆膜但无局部浸润.小弯侧淋巴结肿大,最大者直径1.0 cm,其余部位及脏器无转移.行近端胃大部切除、食管端端吻合、幽门成形术.病理报告:贲门小弯侧溃疡型低分化腺癌,侵润全肌层,穿透浆膜,上下切端未见癌.
MoreAI Read Science
Must-Reading Tree
Example
Generate MRT to find the research sequence of this paper
Chat Paper
Summary is being generated by the instructions you defined