十二指肠球部溃疡与胃恶性肿瘤共存,对于球部的良性病灶,往往被人忽视。美国文献报道,十二指肠球部溃疡与胃恶性肿瘤共存者占十二指肠球部溃疡的0.1％。日本文献统计十二指肠球部溃疡与胃恶性肿瘤的共存率为2.5％。我院1981～1984年初经手术证实的114例胃恶性肿瘤的病例中,发现4例共存。其中,从81～82年上半年的病案资料中查到1例,但其出院诊断只写胃癌一项。其余3例均是82年下半年以后的病例。4例中,3例的病理报告仅报告胃恶性肿瘤,后经对十二指肠球部病灶切片复查后,才补发球部溃疡的报告。国外文献有提及,在胃恶性肿瘤手术时,忽视球部病灶的探查,切下的标本不一定包括球部的病灶,或在手术记录和病理报告中 Duodenal ulcer and gastric cancer coexist, for the benign lesions of the ball, often overlooked. The United States reported in the United States, duodenal ulcer and gastric cancer coexistence accounted for 0.1% of duodenal ulcer. Japanese literature statistics duodenal ulcer and gastric cancer coexistence was 2.5%. In our hospital from 1981 to early 1984 confirmed 114 cases of gastric malignant tumor cases and found that 4 cases coexist. Among them, one case was found from the medical records of the first half of 81-82, but only one gastric cancer was discharged from the hospital. The remaining three cases are the second half of the year after 82 cases. In 4 cases, the pathological report of 3 cases only reported gastric malignant tumor, after which the report of ulceration of the ulcer was given only after reexamination of the lesions in the duodenal bulb. Foreign literature mentions that in the case of gastric malignant tumor operation, the examination of the lesion in the ball is ignored, and the specimen cut off does not necessarily include the lesion of the ball, or in the surgical record and the pathological report