产AFP胃癌一例并文献复习

发布时间：2018-05-13 15:51

  本文选题：AFP + 转移　； 参考：《浙江大学》2017年硕士论文

【摘要】：目的:增加对产AFP胃癌的认识,分析该例病例良好预后的原因。方法:回顾性总结并分析1例产AFP胃癌病例的临床资料,并复习相关文献资料,进行分析讨论并做简单综述。结果:在本病例分析报告中,我们汇报一例产AFP胃癌老年女性病例。该患者术前具有极高水平的血清AFP表达(10,000ng/mL)。但术前腹部CT检查未发现淋巴结肿大或肝转移迹象。我们为其进行了胃癌根治术,术后辅以6个疗程的SOX化疗。患者每6个月复查1次,腹部CT 一直未发现复发或肝转移迹象,血清AFP水平一直处于较低水平。患者至今一直存活,且存活期超29个月。结论:该例患者取得良好预后的原因很可能和其早期发现(无淋巴结转移和肝脏转移),并及时进行根治性手术相关。
[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.
【学位授予单位】：浙江大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R735.2
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本文编号：1883835