胃癌术后盆腔、附睾转移误诊1例报告

Misdiagnosis of 1 Case of Pelvic and Epididymis Metastasis after Operation of Gastric Cancer

胃癌是常见的消化道肿瘤之一,转移途径主要包括:血液转移、淋巴道转移、直接浸润、腹腔种植转移等。转移机制尚不明确,且转移至附睾、盆腔在临床上罕见、表现隐匿,容易导致误诊。结合我院最近收治一例胃癌根治术后附睾、盆腔转移患者,回顾并复习国内外相关文献,以进一步加深对该疾病诊断及鉴别诊断的认识,为临床提供参考及借鉴,现将病例介绍如下。

Gastric cancer is one of the most common digestive tract tumors. Transfer pathways mainly in-clude: blood metastasis, lymphatic metastasis, direct invasion, peritoneal metastasis and so on. However, the transfer mechanism is not clear and the metastasis of gastric cancer to the epidi-dymis and pelvic cavity is relatively rare in clinical. The performance of occult, easily leads to misdiagnosis. Combined with the recent treatment of a case of gastric cancer after radical resec-tion of the epididymis and pelvic metastases, we made a review of relevant literature at home and abroad, in order to further deepen the understanding of the diagnosis and differential di-agnosis of the disease, to provide reference for clinical medicine. Now the case is described as follows.