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胃平滑肌瘤发病率低,无特殊的临床表现,本室共发现“胃平滑肌瘤合并溃疡出血”3例,报告如下。 例1:患者男,65岁,以间断性出现黑便2年,近又发现黑便3天就诊。患者贫血貌.一般情况可,心肺未见异常,腹软,剑下轻压痛。胃镜检查:胃内粘液呈咖啡色,胃底体交界大弯有一约 4.5×3.0cm肿物突出,基底宽大,境界不清。肿块表面大部分光滑如同正常粘膜,顶端局部表面糜烂,于肿物近胃前壁端有一约1.2×0.8 cm 溃疡,较深,伴陈旧性出血。于溃疡边缘及糜烂处钳取活检,病理报告:慢性胃炎伴中度肠上皮化生。入院后行胃大部切除术,术后病理报告:胃平滑肌瘤。
The incidence of gastric leiomyoma is low and there is no special clinical manifestation. A total of 3 cases of gastric leiomyoma with ulcer bleeding were found in this laboratory. The report is as follows. Example 1: The male patient, 65 years old, had intermittent blackness for 2 years. He also found 3 days of black stool treatment. Anemia in patients with appearance. In general, no abnormalities in heart and lungs, abdominal soft, mild tenderness under the sword. Gastroscopy: The mucus in the stomach is brown, and the large curvature of the stomach body junction has an approximately 4.5 x 3.0 cm protrusion of the tumor. The basement is wide and the realm is unclear. Most of the tumor surface was smooth as normal mucosa, and the top surface was eroded. There was a 1.2 x 0.8 cm ulcer on the anterior wall of the tumor near the stomach, which was deeper with old bleeding. Biopsy was performed at the edge of the ulcer and at the erosion site. Pathology report: chronic gastritis with moderate intestinal metaplasia. Subtotal gastrectomy after admission, postoperative pathology report: gastric leiomyoma.