Reut J, Russell J C, Weiss R, Leonard E, Gillan E, Krugman D
Department of Surgery, New Britain General Hospital, 100 Grand Street, New Britain, CT 06050, USA.
Conn Med. 2001 Mar;65(3):131-3.
Adenocarcinoma of the stomach is rare in children and adolescents. A unique case, presenting as an acute abdomen with pneumoperitoneum, is discussed.
Case presentation and literature review.
A 13-year-old girl with perforated gastric adenocarcinoma treated by wedge resection developed metastatic disease within two months and died within six months despite chemotherapy.
Frozen section of all perforated gastric ulcers, with resection/postoperative chemotherapy for adenocarcinoma.
A 13-year-old girl with gastric adenocarcinoma presented with pneumoperitoneum. Within two months of wedge resection widespread metastatic disease was documented by computerized tomography scan and laparoscopy and despite chemotherapy, the patient died within six months. Frozen section of all perforated gastric ulcers, even in children, and definitive formal gastrectomy with postoperative chemotherapy, offer the only chance of cure.
胃腺癌在儿童和青少年中较为罕见。本文讨论了一例表现为气腹性急腹症的独特病例。
病例报告及文献复习。
一名13岁的胃腺癌穿孔女孩接受了楔形切除术，尽管进行了化疗，但在两个月内出现了转移性疾病，并在六个月内死亡。
对所有胃穿孔性溃疡进行冰冻切片检查，对腺癌进行切除及术后化疗。
一名患有胃腺癌的13岁女孩出现气腹。楔形切除术后两个月内，计算机断层扫描和腹腔镜检查证实出现广泛转移性疾病，尽管进行了化疗，患者仍在六个月内死亡。对所有胃穿孔性溃疡，即使是儿童患者，进行冰冻切片检查，并进行根治性全胃切除术及术后化疗，是治愈的唯一机会。
