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胃癌

  • 概述
  • 理论
  • 诊断
  • 治疗
  • 随访
  • 资源
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最后审阅： 27 Jun 2024
最后更新： 21 Dec 2023

小结

定义

病史和体格检查

关键诊断因素

  • 存在的危险因素
  • 腹痛
  • 体重减轻
  • 淋巴结肿大
完整详情

其他诊断因素

  • 50-70 岁
  • 男性
  • 吸烟
  • 家族史
  • 恶心
  • 吞咽困难
  • 下消化道出血
完整详情

危险因素

  • 恶性贫血
  • 幽门螺杆菌
  • 亚硝基化合物
  • 水果和蔬菜摄入少
  • 高盐饮食
  • 吸烟
  • 家族史
完整详情
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诊断性检查

首要检查

  • 上消化道内镜及活检
  • 全血细胞计数 (FBC）
  • 全套代谢检查组合
完整详情

需考虑的检查

  • 胸部/腹部/骨盆 CT
  • 超声内镜
  • 腹腔镜
  • PET/CT
完整详情
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治疗流程

急症处理

局限性：适合手术

局限性：不适合手术

晚期及转移性疾病

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撰稿人

作者

Ahmed Abdelhakeem, MD

Resident Physician

Department of Medicine

Baptist Hospitals of Southeast Texas

Beaumont

TX

利益声明

AA declares that he has no competing interests.

Mariela Blum Murphy, MD

Associate Professor

Department of GI Medical Oncology

University of Texas

MD Anderson Cancer Center

Houston

TX

利益声明

MBM declares that she has no competing interests.

鸣谢

Dr Ahmed Abdelhakeem and Dr Mariela Blum Murphy would like to gratefully acknowledge Dr Valerie Reed and Dr Prajnan Das, previous contributors to this topic.

利益声明

VR and PD declare that they have no competing interests.

同行评议者

Theodore Hong, MD

Director

Gastrointestinal Radiation Oncology

Massachusetts General Hospital Cancer Center

Boston

MA

利益声明

TH declares that he has no competing interests.

Andreas Leodolter, MD

Head of Department

Department of Gastroenterology

Sana Klinikum

Remscheid

Germany

利益声明

AL declares that he has no competing interests.

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