本文選題：AFP + 轉移�。� 參考：《浙江大學》2017年碩士論文

【摘要】：目的:增加對產AFP胃癌的認識,分析該例病例良好預后的原因。方法:回顧性總結并分析1例產AFP胃癌病例的臨床資料,并復習相關文獻資料,進行分析討論并做簡單綜述。結果:在本病例分析報告中,我們匯報一例產AFP胃癌老年女性病例。該患者術前具有極高水平的血清AFP表達(10,000ng/mL)。但術前腹部CT檢查未發(fā)現淋巴結腫大或肝轉移跡象。我們?yōu)槠溥M行了胃癌根治術,術后輔以6個療程的SOX化療�；颊呙�6個月復查1次,腹部CT 一直未發(fā)現復發(fā)或肝轉移跡象,血清AFP水平一直處于較低水平�；颊咧两褚恢贝婊�,且存活期超29個月。結論:該例患者取得良好預后的原因很可能和其早期發(fā)現(無淋巴結轉移和肝臟轉移),并及時進行根治性手術相關。
[Abstract]:Objective: to study the cause of good prognosis of AFP gastric cancer. Methods: the clinical data of 1 case of AFP gastric cancer were retrospectively reviewed and discussed. Results: in this case analysis, we report an elderly female case of AFP gastric cancer. This patient had an extremely high level of serum AFP expression before operation. However, preoperative abdominal CT examination showed no signs of lymph node enlargement or liver metastasis. We performed radical resection of gastric cancer and 6 courses of SOX chemotherapy. After reexamination every 6 months, abdominal CT showed no signs of recurrence or liver metastasis, and the serum AFP level was at a low level. The patient has survived for more than 29 months. Conclusion: the reason for the good prognosis of this patient is probably related to its early detection (no lymph node metastasis and liver metastasis, and timely radical surgery.
【學位授予單位】：浙江大學
【學位級別】：碩士
【學位授予年份】：2017
【分類號】：R735.2
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本文編號：1883835