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Gastric Tubulovillous Adenoma with Malignant Change: Report of a Case

胃絨毛腺管性線瘤併惡性變化:一病例報告

摘要


胃瘜肉並不少見,但組織學上屬絨毛腺腫的病例則不多,因有很高的惡性化機會,而且一半以上的病例無症狀,其餘則以腹痛或上消化道出血表現。在此我們報告一81歲女性,主訴上腹痛,經胃鏡切片檢查診斷為絨毛腺管性線瘤併惡性變化,因家屬與病人不願接受開刀,故以內視鏡腫瘤切除處理。在此我們對胃瘜肉做簡單的回顧並討論其治療。

並列摘要


Gastric polyps is not uncommon, but gastric villous adenoma is really rare. The symptoms of gastric polyps are variable and usually present with abdominal pain or bleeding. But half of these cases are asymptomatic. Here, we report a case of an 81-year-old female who suffered from epigastralgia and was diagnosed as tubulovillous adenoma with malignant change of the stomach after panendoscopy with biopsy. Endoscopic tumor resection was done because surgical treatment was refused.

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