多发性早期胃癌诊断1例

Multiple early gastric carcinoma:Report of one case

多发性早期胃癌在临床上比较少见,胃镜检查及诊断上容易遗漏病灶而误诊.本病例患者行两次外科手术,术后病理均证实为多发性早期胃癌.分析误诊原因为临床医师对该病认识不足,很多检查措施存在自身局限性,患者不配合医师检查.临床医生应拓宽思路,完善疾病知识,主观上重视疾病,术前必要时行染色内镜或放大内镜检查,术中探查全面仔细,术后病理行连续切片,提高多发性早期胃癌的检出率.

Multiple early gastric carcinoma is a relatively rare clinical entity and is easy to be misdiag- nosed for missing tumor lesions. Here we report such a case in a patient who was diagnosed with this rare disease by postoperative pathology af- ter two surgeries. Major causes of misdiagnosis of this disease include the lack of experience with multiple early gastric carcinoma, limita- tions of medical examinations, and poor patient compliance. To increase the detection rate of multiple early gastric carcinoma, clinicians should increase knowledge about this disease to raise awareness. Chromoendoscopy and magnifying endoscopy should be used when conventional endoscopy is not enough to help establish a diagnosis. Careful intraoperative ex- amination should also be guaranteed. Moreover,pathological examination of continuous sections of surgical specimens is necessary for a definite diagnosis.