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简述胃癌的鉴别诊断

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2021-12-29 00:11
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(1)良性胃溃疡:青、中年居多,病史较长,周期性、节律性明显,制酸药治疗效果好。X线钡剂远视多见腔外龛影,直径常<2cm,边缘光滑,周围黏膜柔软,有星状聚合征。内镜下见溃疡形状规则,边缘整齐,底部苔色洁净,周围黏膜柔软,皱襞常向溃疡集中。
(2)胃息肉:胃隆起病变,但病程长,发展慢,表面光滑,多有蒂或无蒂,X线及胃镜检查容易鉴别。须注意其恶变之可能,应通过病理组织活检证实。


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