[一名因内镜活检难以获取癌组织标本而经剖腹探查诊断并随后切除的硬癌性胃癌患者]

[A Patient with Scirrhous Gastric Cancer Diagnosed and Resected Subsequently by Laparotomy Examination Due to Difficulty to Take Cancer Specimen by Endoscopic Biopsy].

作者信息

Furukawa Hiroshi, Nakamuro Makoto, Nakano Hiroshi, Kondo Yoshiaki, Ishikawa Kazuo, Okubo Yuhei, Imano Motohiro, Yasuda Takushi, Kimura Yutaka, Imamoto Haruhiko, Shinkai Masayuki, Yasuda Atsushi, Shiraishi Osamu, Iwama Mitsuru, Kato Hiroaki

机构信息

Dept. of Surgery, Seikeikai Hospital.

出版信息

Gan To Kagaku Ryoho. 2017 Nov;44(12):1077-1079.

PMID:29394539

Abstract

Some of scirrhous gastric cancer are difficult to diagnose on the surface view or to take correct biopsy specimen.A 85-yearold man with dysphagia was diagnosed scirrhous gastric cancer endoscopically, but could not be taken a biopsy specimen showing cancer.We informed cases of scirrhous gastric cancer difficult to take correct biopsy specimen and recommended surgical operation to take correct specimen and to start a treatment.Patient underwent total gastrectomy after cancer diagnosis( P0CY0cT4aN0).He can eat more food and survive longer than 1 year without any chemotherapies.Scirrhous gastric cancer needs early diagnosis and treatment to improve patient prognosis.

摘要

一些硬癌型胃癌从外观上难以诊断，也难以获取正确的活检标本。一名85岁吞咽困难的男性经内镜诊断为硬癌型胃癌，但未能获取显示癌症的活检标本。我们通报了难以获取正确活检标本的硬癌型胃癌病例，并建议进行手术以获取正确标本并开始治疗。患者在癌症诊断后接受了全胃切除术（P0CY0cT4aN0）。他现在能吃更多食物，未经任何化疗存活超过1年。硬癌型胃癌需要早期诊断和治疗以改善患者预后。