一例初级胃癌与小肠转移的胃癌
Chikara Mashiba1, Shinichi Kinami1, Yuta Sannomiya1
1Department of General and Gastroenterologic Surgery, Kanazawa Medical University Himi Municipal Hospital, Himi, Toyama, Japan.
Surgical case reports
|October 21, 2025
概括
初级胃癌,一种罕见的癌症,可以在小肠内扩散. 这一案例凸显了在胃癌患者中识别内转移对于有效治疗的重要性.
科学领域:
- 胃肠病学 胃肠病学
- 在瘤学瘤学.
- 手术病理学手术病理学
背景情况:
- 原发性胃癌是一种非常罕见的恶性瘤.
- 本报告详细介绍了一个独特的病例,涉及到小肠的内转移.
研究的目的:
- 为了呈现一种罕见的初级胃癌肉瘤病例.
- 描述来自胃癌的小肠内转移的发生情况.
- 强调对这种罕见的转移模式的临床意识.
主要方法:
- 一名77岁的男性患者出现了严重的贫血和隐藏的便血液.
- 诊断上部胃肠内镜显示了胃质量.
- 进行了初级瘤的息局部切除.
- 随后的肠道阻塞手术揭示并切除了小肠道质量.
- 病理学分析证实了胃癌与小肠转移的胃癌.
- 对肺转移进行了用capecitabine和irinotecan进行的化疗.
主要成果:
- 患者最初在胃瘤切除后得到改善.
- 由于转移而导致的肠道阻塞发生在手术后9天.
- 病理学检查证实了胃癌的肠内转移到小肠.
- 在手术后8个月检测到肺转移.
- 化疗导致瘤减少.
结论:
- 初级胃癌可以表现为肠内转移到小肠.
- 临床医生必须考虑这种罕见的转移性途径在胃癌的管理.
- 早期识别和适当的治疗对于患者的治疗结果至关重要.
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