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1病例介绍患者,女,49岁,半年前无明显诱因出现间断性腹部不适,为钝痛,可忍受,吞咽食物出现咽下困难,稍后可自行缓解,无恶心、呕吐、反酸及烧心,未行正规治疗。上述症状反复发作,门诊对症治疗症状缓解不明显,于当地县医院行胃镜检查提示:①非萎缩性胃炎伴糜烂;②胃体黏膜下肿物。为进一步明确诊疗,患者于2012-09入住我院消化科治疗。电子胃镜示胃体大弯侧后壁可见一处黏膜下隆起病变,直径约2.0cm,表面光滑,色泽如常(见图1)。用环扫5MHz的超声內镜探查病灶部位,胃体可见一类
1 case description The patient, female, 49 years old, six months ago no obvious incentive intermittent abdominal discomfort, dull pain, tolerable, swallowing food swallowing difficulties, and later relieve itself, no nausea, vomiting, acid reflux and heartburn , No formal treatment. Repeated episodes of the above symptoms, out-patient symptomatic treatment of symptoms was not obvious, at the local county hospital gastroscopy prompted: ① non-atrophic gastritis with erosion; ② gastric mucosal tumor. In order to further clarify the diagnosis and treatment, patients admitted to our hospital for Gastroenterology in 2012-09. Electron gastroscopy showed a large gastric curvature of the posterior wall shows a submucosal bulging lesions, a diameter of about 2.0cm, smooth surface, the color of the normal (see Figure 1). Use a ring scan 5MHz ultrasound endoscopy to explore the lesion, gastric body can see a class