甲磺酸阿帕替尼治疗晚期胃-食管结合部腺癌1例

发布时间：2018-03-25 03:24

本文选题：胃癌　切入点：胃-食管结合部腺癌　出处：《中国肿瘤临床》2017年09期

【摘要】：正患者男性,81岁,主因"确诊胃癌10余天"于2015年10月26日就诊于山西大医院。胃镜示:胃-食管结合部癌,HP(+);病理诊断示:低分化腺癌,HER(-)。胸腹CT示:右肺中叶结节,考虑恶性可能;右肺中叶外带结节,考虑炎性;贲门癌累及食管下段、小弯侧,胃周小淋巴结。行气管镜,多次痰液病理细胞学检查均未明确肺部占位性质。因患者家属拒绝反复多次肺组织活检,初步诊断为:胃-食管结合部腺癌,右肺转移。
[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.
【作者单位】：山西大医院肿瘤内一科山西医学科学院;
【分类号】：R735

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