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題名 | Gastric Carcinoid Diagnosed as Adenocarcinoma in Preoperative Endoscopic Biopsy--A Case Report=術前內視鏡切片被診斷為胃腺癌的類癌--一病例報告 |
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作 者 | 李維哲; 何信重; 沈陳石銘; 邢福柳; 周逢復; | 書刊名 | 中華民國外科醫學會雜誌 |
卷期 | 32:3 民88.05-06 |
頁次 | 頁134-138 |
分類號 | 415.138 |
關鍵詞 | 腺癌; 胃類癌; Gastric carcinoid; Adenocarcinoma; |
語文 | 英文(English) |
中文摘要 | 一例胃類癌病例報告。病人以上腹痛及胃出血症狀表現,胃鏡切片診斷為腺癌。在接受次全胃切除手術後,病理報告為類癌。以往,胃類癌被認為是少見的疾病。但近年來其發生率漸高。由於其臨床病徵與內視鏡表現皆可能近似其他較常見疾病,因此,在對胃部病變作鑑別診斷時,應將類癌包括在內以期獲得正確的診斷並給予適當的治療。 |
英文摘要 | Although previously being thought to be a rare condition, gastric carcinoids now constitute 10% to 30% of all carcinoid tumors. Patients with this entity may present with nonspecific complaints or symptoms similar to ulcers, polyps, or carcinoma. One patient in this hospital presented with tarry stool and gastric adenocarcinoma was the provisional diagnosis under gastroendoscopy examination. The initial histological examination of biopsy specimen was adenocarcinoma. Radical subtotal gastrectomy with lymph node dissection was performed and final pathological report turned out to be carcinoid tumor. Gastric carcinoids are not so rare as reqarded before. They should always be included in the differential diagnoses of gastric lesions in order to achieve an early diagnosis and give the optimal therapy. |
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