Misdiagnosis of 46 cases of gastric cancer.doc

 PAGE \* MERGEFORMAT 6 Misdiagnosis of 46 cases of gastric cancer [Keywords:] cancer, clinical analysis, misdiagnosis Gastric cancer is a common clinical disease in the world and cancer incidence and cancer mortality in the first two. Our hospital from January 1995 to June 2007 were treated by endoscopy or pathology confirmed 753 cases of gastric cancer and found 46 cases of gastric cancer error misdiagnosis as other diseases, accounting for 6.1%. is now on its clinical data analysis is as follows. 1 Clinical data A total of 46 patients in this group of patients, 30 males and 16 females, aged 28 to 82 years, 28 cases more than 60 years of age, accounting for 60.9%. From the first consultation to diagnosis was 2 to 23 months. Clinical manifestations abdominal distention or pain in 31 cases, hematemesis, tarry stool in 13 cases row, eating or swallowing 8 cases of choking, anorexia, weight loss in 4 cases, nausea, vomiting in 3 cases, a large left supraclavicular lymph nodes in 2 cases amidships, ascites 2 cases, dizziness, fatigue, anemia, abdominal mass, 1 case of lower extremity edema, syncope, hemoptysis, and 1 case of gastric perforation. Some patients also have 2 or more than 2 kinds of symptoms. 2 Results 46 cases misdiagnosed as chronic gastritis, gastric cancer 16 cases, 12 cases of peptic ulcer, cholecystitis, gallstones in 5 cases, 1 case of coronary heart disease, functional dyspepsia, and 1 case of adhesive intestinal obstruction, liver cirrhosis, bronchiectasis, lymphatic tumor, primary peritonitis, stomach cramps, cerebral insufficiency, hypertension, anemia, chronic enteritis and pancreatic lesions in 1 case. tumor site: 20 cases of gastric cancer (43.5%, cardiac in 12 cases (26.1 % angle of the body of stomach stomach cancer in 11 patients (23.9%, residual cancer in 2 cases (4.3%, the whole stomach in 1 case (2.2%. early gastric cancer, 2 cases of advanced gastric cancer in 44 cases. pathologic type results: papillary adenocarci