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本文报道1例胰十二指肠切除(Child)术后4年残胃发生癌变的病例。该病例在随访中出现中上腹不适及CEA升高,胃镜检查发现胃底病变。Child术后残胃癌发病率低可能与病人5年生存率低且还未出现残胃癌就已死亡有关。Child术后如突然出现CEA增高或中上腹无规律疼痛,要警惕残胃癌可能。病例:男,68岁,因十二指肠乳头腺癌Ⅱ级行Child术后4年,复查发现胃底贲门部肿瘤2周入院。病人20余年前曾行脾切除术。入院前半年有中上腹隐痛不适和消化不良史。腹
This article reports a case of pancreaticoduodenectomy (Child) 4 years after the occurrence of gastric remnant cancer cases. The case of mid-abdominal discomfort during the follow-up and CEA increased gastroscopy found that gastric lesions. The low incidence of postoperative residual gastric cancer in Child may be related to the low 5-year survival rate of the patient and the absence of residual gastric cancer. Child surgery such as sudden increase in CEA or irregular abdominal pain, to guard against residual gastric cancer may be. Case: Male, 68 years old, duodenal papilla adenocarcinoma grade Ⅱ 4 years after childbirth, a retrospective study found gastric cardia tumor 2 weeks admission. The patient underwent splenectomy more than 20 years ago. Half a year before admission, abdominal pain and discomfort in the history of dyspepsia. belly