摘要
Abstract
Objective To explore clinical characteristics, reason of misdiagnosis, preventive strategy and treatment of Borrmann type Ⅳ gastric carcinoma.Methods A retrospective analysis of Nanchang People 's Liberation Army Hospital from January 1996 to January 2013, 18 misdiagnosis cases clinical data of pathologically confirmed Borrmann Ⅳ type gastric cancer and review of the literature.Results 18 cases of BorrmannⅣtype gastric cancer patients including 7 males and 11 fe-males, aged from 30 to 71 years;duration from 1 week to 3 months, all have undergone 1 to 2 times gastroscopy.7 cases mis-diagnosed as chronic gastritis, 6 cases of peptic ulcer, tuberculous peritonitis in 2 cases, 3 cases of ovarian cancer.18 cases performed angiography or abdominal CT examination and revealed abnormal finding of upper digestive tract, underwent endos-copy or surgery again and got the final diagnosis, among them, adenocarcinoma in 1 case, 6 cases of poorly differentiated ade-nocarcinoma, mucinous adenocarcinoma in 2 cases, signet ring cell carcinoma in 6 cases, 3 cases of undifferentiated carcino-ma.Receiving palliative surgery of gastric cancer in 9 cases, ovarian metastases palliative surgery in 2 patients, and systemic chemotherapy and intraperitoneal chemotherapy in 12 cases.The longest survival time was 23 months, 9 patients survived a period not exceeding one year.Conclusion Joint upper gastrointestinal endoscopy imaging, abdominal CT and EUS can im-prove BorrmannⅣtype gastric cancer detection rate, combined therapy with surgery may improve survival rate.关键词
BorrmannⅣ型胃癌/诊断/治疗Key words
Borrmann Ⅳtype gastric cancer/Diagnosis/Treatment
