Rauf Fouzia, Ahmad Zubair, Muzzafar Suhail, Hussaini Akber Shah
Department of Pathology and Microbiology, Aga Khan University Hospital, Karachi.
J Pak Med Assoc. 2006 Apr;56(4):184-6.
Only a few cases of synchronous occurrence of gastric adenocarcinoma and gastrointestinal stromal tumour are reported in literature. We report a case of 70 years old lady who presented with symptoms of nausea, vomiting, epigastric pain and weight loss. Barium meal examination showed stricture of the body and antrum. Gastric endoscopic biopsy showed poorly differentiated adenocarcinoma. Total gastrectomy revealed a 2cm submucosal nodule of low risk gastrointestinal stromal tumour along with poorly differentiated adenocarcinoma. Patient died 18 months later.
文献中仅报道了少数胃腺癌与胃肠道间质瘤同时发生的病例。我们报告一例70岁女性患者,她出现恶心、呕吐、上腹部疼痛和体重减轻等症状。钡餐检查显示胃体和胃窦狭窄。胃内镜活检显示低分化腺癌。全胃切除术后发现一个2cm的低风险胃肠道间质瘤黏膜下结节以及低分化腺癌。患者于18个月后死亡。