Pierko Jacek, Łukaszewicz Jerzy, Sawicka-Pierko Anna, Hady Hady Razak, Dadan Jacek
Pol Przegl Chir. 2012 Nov;84(11):582-4. doi: 10.2478/v10035-012-0096-y.
The occurrence of synchronous tumors of the gastrointestinal tract is rarely observed in general surgery, diagnosis is frequently incidental, often intraoperatively. The aim of this study was to present a case of a 50 year-old male patient admitted to the Department of Gastroenterology, University Hospital in Białystok, due to abdominal pain, significant weakness and excretion of tarry stools. Imaging diagnostics revealed the presence of a large gastric tumor (histopathological type - adenocarcinoma), and single metastasis to the liver. The patient was qualified for total gastrectomy. Surgery was performed at the 1st Department of General and Endocrinological Surgery, University Hospital in Białystok. Rectal cancer, which was observed during the operation was removed simultaneously.
胃肠道同步肿瘤的发生在普通外科中很少见,诊断通常是偶然的,常在术中发现。本研究的目的是介绍一名50岁男性患者的病例,该患者因腹痛、极度虚弱和柏油样便而入住比亚韦斯托克大学医院胃肠病科。影像学诊断显示存在一个大的胃肿瘤(组织病理学类型为腺癌),并有单发肝转移。该患者符合全胃切除术的条件。手术在比亚韦斯托克大学医院普通与内分泌外科第一科室进行。术中发现的直肠癌同时被切除。