Serban D, Brănescu C, Savlovschi C, Tiucă F, Tudor C, Kraft A, Sajin M, Simion G, Nistor A, Brumă G, Tudor A, Dascălu A-M, Muşat L, Comandaşu M, Borcan R, Dumitrescu D, Popa-Cherecheanu A, Shanabli A, Găvan C, Bejgăneanu A, El-Khatib A, Ursache E, Oprescu S
Universitatea de Medicină şi Farmacie "Carol Davila", Bucureşti, România.
Chirurgia (Bucur). 2011 May-Jun;106(3):383-7.
The article presents the case of a male patient, hospitalized due to severe pain in the upper abdomen area, nausea, and vomiting. The patient was diagnosed with surgical acute abdomen, for which emergency surgery is performed. Upon penetration into the peritoneal cavity, stomach inspection shows at the medio-gastric level, on the greater curvature, a callous gastric ulcer, with a central perforation. A large excision is decided up to the healthy (normal) gastric tissue, and the resulting pieces are sent to the pathological anatomy laboratory. The histopathological exam reveals signet ring cell recent gastric carcinoma. The biopsy performed 1 month after surgery, prelevated from the antropyloric zone, reveals antropyloric gastritis with moderate activity and Helicobacter pylori positive. Due to the fact that such cases when this gastric cancer type is diagnosed in recent stages are extremely rare, we considered it useful to present it and look into its macroscopic and microscopic aspects, as well as into the differentiating diagnosis.
本文介绍了一名男性患者的病例，该患者因上腹部剧痛、恶心和呕吐入院。患者被诊断为外科急腹症，并接受了急诊手术。进入腹腔后，胃部检查显示在胃中水平、大弯处有一个硬结性胃溃疡，伴有中央穿孔。决定对健康（正常）胃组织进行大面积切除，并将切除的组织块送去病理解剖实验室。组织病理学检查显示为印戒细胞型早期胃癌。术后1个月从胃窦区取组织进行活检，结果显示为中度活动性胃窦胃炎且幽门螺杆菌呈阳性。鉴于这种类型的胃癌在早期被诊断出的病例极为罕见，我们认为展示该病例并研究其宏观和微观特征以及鉴别诊断是很有必要的。
