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胃癌是临床常见的恶性肿瘤之一,在消化系统癌瘤中占第一位,首发症状以骨转移者实为少见。对已发现骨转移的胃癌病人根据其特点,采取有效措施进行积极治疗,可缓解病情,延长生存期,改善生存质量。本文对7例以骨转移为首发症状,经病理证实为胃癌病人的临床特点,诊治方法,预后进行讨论。 1 临床资料 7例患者中男3例,女4例,年龄36～73岁,平均51.5岁。7例胃癌患者均经放射性核素全身骨显像检查及胃镜活检病理证实,其中贲门乳头状腺癌1例,胃窦部粘液细胞癌2例,胃窦部低分化腺癌3例,粘液腺癌1例。
Gastric cancer is one of the most common malignancies in the clinic. It accounts for the first place in the digestive system cancer. The first symptom of bone metastases is rare. For gastric cancer patients who have been found to have bone metastases, according to their characteristics, taking effective measures for active treatment can relieve the disease condition, prolong the survival period, and improve the quality of life. This article discusses the clinical features, diagnosis and treatment methods, and prognosis of 7 patients with bone metastases as the first symptom. 1 clinical data 7 cases of patients were 3 males and 4 females, aged 36 to 73 years, an average of 51.5 years. 7 patients with gastric cancer were all confirmed by radionuclide whole body bone scintigraphy and pathological biopsy. There were 1 cardia papillary adenocarcinoma, 2 gastric mucosal mucinous cell carcinomas, 3 poorly differentiated adenocarcinomas of gastric antrum, and mucinous glands. One case of cancer.