本文選題：胃癌　切入點(diǎn)：胃-食管結(jié)合部腺癌　出處：《中國腫瘤臨床》2017年09期

【摘要】：正患者男性,81歲,主因"確診胃癌10余天"于2015年10月26日就診于山西大醫(yī)院。胃鏡示:胃-食管結(jié)合部癌,HP(+);病理診斷示:低分化腺癌,HER(-)。胸腹CT示:右肺中葉結(jié)節(jié),考慮惡性可能;右肺中葉外帶結(jié)節(jié),考慮炎性;賁門癌累及食管下段、小彎側(cè),胃周小淋巴結(jié)。行氣管鏡,多次痰液病理細(xì)胞學(xué)檢查均未明確肺部占位性質(zhì)。因患者家屬拒絕反復(fù)多次肺組織活檢,初步診斷為:胃-食管結(jié)合部腺癌,右肺轉(zhuǎn)移。
[Abstract]:A male of 81 years old was diagnosed with gastric cancer for more than 10 days. He was admitted to Shanxi Hospital on October 26, 2015. The gastroscopy showed that the gastroesophageal carcinoma was HP1; the pathological diagnosis showed that the poorly differentiated adenocarcinoma was diagnosed as HERP-, and the chest and abdomen CT showed the right middle lobe nodule of the lung, and the pathological diagnosis was as follows: the right lung, the middle lobe of the lung, and the middle lobe of the right lung. Consider the possibility of malignancy; right middle lobe tubercle with inflammation in mind; cardia carcinoma involving lower esophagus, small curved side, small perigastric lymph nodes. Tracheoscopy, The pathological cytological examination of sputum did not confirm the nature of lung mass. The primary diagnosis was gastroesophageal adenocarcinoma and metastasis of the right lung due to the refusal of repeated lung biopsy by the family members of the patients.
【作者單位】： 山西大醫(yī)院腫瘤內(nèi)一科 山西醫(yī)學(xué)科學(xué)院;
【分類號(hào)】：R735

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