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中华普外科手术学杂志(电子版) ›› 2026, Vol. 20 ›› Issue (05) : 504 -506. doi: 10.3877/cma.j.issn.1674-3946.2026.05.021

临床经验

多原发胃肠道恶性肿瘤序贯治疗:1例报告并文献复习
孙毅1, 訾力2, 公绪飞2, 郭明晓2,†()   
  1. 1 261000 山东潍坊,山东第二医科大学临床医学院
    2 276000 山东临沂,临沂市人民医院胃肠外科
  • 收稿日期:2025-12-11 出版日期:2026-10-26
  • 通信作者: 郭明晓

Sequential treatment of multiple primary gastrointestinal malignancies: a case report and literature review

Yi Sun1, Li Zi2, Xvfei Gong2, Mingxiao Guo2,†()   

  1. 1 School of Clinical Medicine,Shandong Second Medical University, Weifang Shandong Province 261000, China
    2 Department of Gastrointestinal Surgery, Linyi People's Hospital, Linyi Shandong Province 276000, China
  • Received:2025-12-11 Published:2026-10-26
  • Corresponding author: Mingxiao Guo
  • Supported by:
    Shandong Provincial Natural Science Foundation(ZR2021MH362); Medical and Health Science and Technology Project of Shandong Province(202304010731)
引用本文:

孙毅, 訾力, 公绪飞, 郭明晓. 多原发胃肠道恶性肿瘤序贯治疗:1例报告并文献复习[J/OL]. 中华普外科手术学杂志(电子版), 2026, 20(05): 504-506.

Yi Sun, Li Zi, Xvfei Gong, Mingxiao Guo. Sequential treatment of multiple primary gastrointestinal malignancies: a case report and literature review[J/OL]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2026, 20(05): 504-506.

图1 患者术前胃肠镜检查 A为胃体小弯侧偏后壁黏膜隆起性糜烂;B为直肠10 cm处息肉;C为乙状结肠巨大肿块
图2 胃与直肠黏膜下剥离术后、乙状结肠癌根治切除术后病理 A为胃体小弯腺癌;B为直肠腺癌;C为乙状结肠腺癌(HE染色,放大100倍)
图3 术后随访患者肿瘤标志物变化情况
图4 术后随访患者胃肠镜检查 A为胃体小弯原内镜下直肠黏膜剥离术(ESD)瘢痕愈合良好;B为距肛门18 cm吻合口愈合良好;C为距肛门10 cm原ESD瘢痕愈合良好
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