Gastroenterologie
a hepatologie

Papilárny adenokarcinóm žalúdka

Martin Tkáčik¹

+ Pracoviště
¹ Gastroenterologická ambulancia NsP Brezno

Souhrn

58-ročný pacient bol prijatý do nemocnice pre bolesti brucha, žalúdočný vred a zhoršené hepatálne parametre. Na CT boli zistené mnohopočetné ložiská charakteru metastáz v hepare, početná lymfadenopatia až pakety zväčšených lymfatických uzlín hlavne v oblasti retroperitonea, peripankreaticky a v oblasti distálneho žalúdka, takisto aj ložiská v pľúcach, pravdepodobne metastázy. Histopatologicky sa potvrdil papilárny adenokarcinóm z oblasti vredu žalúdka v prepylorickej oblasti. Vzhľadom k diseminácii ochoreniam bola prognóza nepriaznivá, onkológ neindikoval onkologickú liečbu, pokračovali sme v liečbe v zmysle best supportive care.

Klíčová slova

časný karcinom žaludku, jaterní metastázy, lymfadenopatie, papilární adenokarcinom

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