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自1994年5月～1996年12月,我院收治32例不能手术切除的晚期胃底贲门癌患者,经胃左动脉栓塞化疗取得了良好的疗效。现报告如下: 1 资料与方法 32例中男性25例,女性7例,年龄37～72岁,平均56.6岁。主要临床症状:上腹痛11例,呕吐19例,黑便10例,消瘦31例,32例均有吞咽困难,均只能进流食和半流食。本组32例均经钡餐和胃镜检查诊断为胃底贲门癌。活检病理诊断:低分化腺癌27例,粘液腺癌5例。有淋巴结转移证据者22例。
From May 1994 to December 1996, 32 patients with advanced gastric cardia cancer who were not surgically treated in our hospital had achieved good results by transarterial chemoembolization. The report is as follows: 1 Materials and Methods 32 cases of 25 males and 7 females, aged 37 to 72 years, mean 56.6 years old. The main clinical symptoms were 11 cases of epigastric pain, 19 cases of vomiting, 10 cases of melena, and 31 cases of emaciation. All 32 cases had dysphagia and were only able to enter into liquid food and semi-liquid food. This group of 32 patients were diagnosed as gastric cardia cancer by barium meal and gastroscopy. Pathological diagnosis of biopsy: 27 cases of poorly differentiated adenocarcinoma, 5 cases of mucinous adenocarcinoma. There were 22 cases with evidence of lymph node metastasis.