对胃间质瘤胃镜下误诊1例分析如下。1病历摘要男,38岁。因上腹部胀痛1个月余来我院就诊。既往乙肝病史8 a。无呕血、黑便史。查体:精神好,皮肤黏膜无黄染,腹部剑突下轻压痛,无反跳痛,双下肢无水肿。乙肝五项示:HBs-Ag(+),HBe-Ab(+),HBc-Ab(+)。胃镜示:胃底见一巨大葡萄串样隆起 Gastric endometrial misdiagnosis of a case analyzed as follows. 1 medical record summary male, 38 years old. Due to abdominal pain more than 1 month to our hospital. Past history of hepatitis B 8 a. No hematemesis, black history. Physical examination: good spirit, skin mucosa no yellow dye, under the xiphoid tenderness, no rebound tenderness, no lower extremity edema. Five indicators of hepatitis B: HBs-Ag (+), HBe-Ab (+), HBc-Ab (+). Gastroscopy showed: stomach see a huge grape-like uplift