Takasaki M, Tanaka Y, Yokota T, Yorimitsu Y, Usuki H, Takemura T, Morita S, Hisa A, Tokuoka H, Horimi T
Dept. of Digestive Disease, Kochi Municipal Central Hospital.
Gan No Rinsho. 1990 Oct;36(12):2186-92.
A case of calcified gastric cancer is reported, with a review of the Japanese literature with special reference to the genesis of calcification. A male patient, 51 years of age, given a partial gastrectomy for an advanced gastric cancer 5 years earlier, presented general malaise. Plain X-rays revealed fine, stippled calcifications widely distributed in the upper abdomen. Additionally, computed tomography revealed a wide expanse of high density shadows with CT numbers of calcifications. On laparotomy, a histologic examination of a specimen taken for biopsy from part of the metastatic liver tumor led to a diagnosis of a mucinous adenocarcinoma showing identical histologic features of the previously resected gastric cancer, this diagnose then confirmed by Kossa's staining of fine calcified deposits in the tumor parenchyma.
本文报告一例钙化性胃癌病例,并结合日本文献,特别提及钙化的成因进行综述。一名51岁男性患者,5年前因进展期胃癌接受了胃部分切除术,现出现全身不适。腹部平片显示上腹部广泛分布着细小的点状钙化。此外,计算机断层扫描显示大片高密度阴影,钙化的CT值较高。剖腹手术时,对转移性肝肿瘤部分进行活检所取标本的组织学检查诊断为黏液腺癌,其组织学特征与先前切除的胃癌相同,该诊断随后通过对肿瘤实质内细小钙化沉积物进行柯萨染色得以证实。