巨大胃腺癌呈外生性生长模式：一例病例报告并文献复习
Huge gastric carcinoma showing an exophytic growth pattern: a case report and review of the literature.
作者信息
Oki Eiji, Higashi Hidefumi, Honboh Takuya, Haraoka Seiji, Okuyama Toshiro, Yoshida Michio
机构信息
Department of Surgery and Science, Graduate School, Kyushu University, 3-1-1, Maidashi, Higashi-ku, Fukuoka, 812-8582, Japan.
出版信息
J Gastrointest Cancer. 2008;39(1-4):42-5. doi: 10.1007/s12029-008-9047-6. Epub 2009 Jan 6.
CASE REPORT
We herein report a case of huge gastric carcinoma showing an exophytic growth pattern. The gastric carcinoma measured 160 x 130 mm in size. A radical resection was judged to be impossible preoperatively since the tumor invasion of the pancreas and liver was demonstrated on computed tomography. A pancreaticoduodenectomy combined with a resection of the transverse colon was performed. A pathological examination demonstrated the tumor to directly invade the pancreas and transverse colon; however, no metastasis was observed in the regional lymph nodes. The patient is alive and doing well without any recurrence at 5 years postoperatively.
DISCUSSION
To obtain a better prognosis for huge gastric carcinoma showing an exophytic growth pattern, extended radical surgery is recommended since the size of the exophytic mass sometimes does not indicate the extent of the tumor.
病例报告
我们在此报告一例呈现外生性生长模式的巨大胃癌病例。该胃癌大小为160×130毫米。术前计算机断层扫描显示肿瘤侵犯胰腺和肝脏，因此判断无法进行根治性切除。遂行胰十二指肠切除术联合横结肠切除术。病理检查显示肿瘤直接侵犯胰腺和横结肠；然而，区域淋巴结未见转移。患者术后5年存活且状况良好，无任何复发。
讨论
对于呈现外生性生长模式的巨大胃癌，为获得更好的预后，建议进行扩大根治性手术，因为外生性肿块的大小有时并不表明肿瘤的范围。
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