胃癌患者CA19-9明显升高1例报道并文献复习

摘要

本文报道1例胃腺癌患者,临床表现为腹痛、腹胀.腹部CT示胰腺周围积液,实验室检查CA19-9明显升高,初误诊为急性胰腺炎伴麻痹性肠梗阻,后经胃镜诊断为腺癌.该病例提示CA19-9明显升高患者应结合病史、影像及内窥镜综合判断,以免误诊.%This article reported one patient with gastric adenocarcinoma,presented with abdominal pain,abdominal distension.Abdominal CT showed that pancreatic fluid around,CA19-9 was significantly elevated,the patient was misdiagnosed as acute pancreatitis with paralyticileus,then diagnosed as adenocarcinoma by gastroscope.The higner CA19-9 should be combined with the history,imaging and endoscopic comprehensive judgment,so as to avoid misdiagnosis.