Inoue Keisuke, Fujiwara Yoshiyuki, Kogata Shuhei, Kanaizumi Hirofumi, Fukuda Shuichi, Takeyama Hiroshi, Kitani Kotaro, Tsujie Masanori, Yukawa Masao, Wakasa Tomoko, Ohta Yoshio, Inoue Masatoshi
Dept. of Gastroenterological Surgery, Kindai University Nara Hospital.
Gan To Kagaku Ryoho. 2016 Nov;43(12):1869-1871.
A 71-year-old man with anemia, weight loss, and loss of appetite was admitted. Ultrasound examination found thickening of the wall of the stomach. A type 3 gastric tumor was detected in the greater curvature of the gastric corpus via upper gastrointestinal endoscopy. Total gastrectomy, transverse colon resection, and Roux-en-Y anastomosis reconstruction was performed. In the postoperative pathological results, adenocarcinoma, tub2, and diffuse large B cell lymphoma collision was found. The patient underwent chemotherapy for malignant lymphoma and although it was a relatively advanced neoplasia, he is alive without a recurrence.
一名患有贫血、体重减轻和食欲不振的71岁男性入院。超声检查发现胃壁增厚。通过上消化道内镜检查在胃体大弯处发现了3型胃肿瘤。进行了全胃切除术、横结肠切除术和Roux-en-Y吻合术重建。术后病理结果显示为腺癌、tub2和弥漫性大B细胞淋巴瘤碰撞。该患者接受了恶性淋巴瘤化疗,尽管肿瘤相对晚期,但他仍存活且未复发。