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消化道同时发生2种原发癌较少见。本院经胃镜发现消化道肿瘤902例,其中食管癌202例,胃癌687例。现报道食管鳞状上皮癌贲门或胃体管状腺癌同时并存3例如下。 例1:男,67岁,因上腹部疼痛3个月于1988年11月6日行胃镜检查。食管中段可见0.5×1.0×1.5cm肿块,肿块表面粗糙。胃内见咖啡色血液,胃体上部小弯侧及前后壁可见3×4cm溃疡,上覆黄褐苔,溃疡形态不规则,边缘轻度隆起。病理活检食管中段肿块鳞状上皮癌,胃体上部巨大溃疡管状腺癌。胃镜诊断食管癌及进展期胃癌同时并存。
The simultaneous occurrence of two primary cancers in the digestive tract is rare. In this hospital, 902 cases of digestive tract tumors were found by gastroscopy, including 202 cases of esophageal cancer and 687 cases of gastric cancer. Esophageal squamous cell carcinoma or gastric tubular adenocarcinoma is reported to coexist at the same time. Example 1: Male, 67 years old, underwent gastroscopy on November 6th, 1988 for 3 months of epigastric pain. A 0.5 × 1.0 × 1.5 cm mass was seen in the middle of the esophagus. The tumor surface was rough. The brown blood was seen in the stomach. 3×4cm ulcers were visible on the small curved side of the upper part of the stomach and on the anterior and posterior walls. The brown and brown coating on the upper part of the stomach was irregular. The ulcer was irregular in shape and the edges slightly raised. Pathological biopsy of masses in the middle esophagus squamous cell carcinoma, giant ulcers in the upper body of the stomach tubular adenocarcinoma. Endoscopic diagnosis of esophageal cancer and advanced gastric cancer coexist.