因胃窦部巨大皱襞钡餐检查误诊为腔内溃疡型癌,现报道1例。患者女,56岁。因上腹疼6～7年,加重2月就诊。6～7年来间有上腹痛,多在夜间,伴反酸。软便,每日2～3次,无粘液。吃菜椒可诱发,经胃舒平、乐得胃治疗疼痛不缓解,并自觉近2月来疼痛加重,精神差和全身乏力。曾因颈椎病服激素年余,吸烟30余年,日均1包。就诊后门诊气钡双重造影,见胃窦大弯侧一腔内龛影约2cm×3cm,周围伴围堤征,印象为溃疡性癌,建议手术。查体:无贫血貌,左锁骨上淋巴结不大,心肺正常,肝脾 One case was reported because of misdiagnosis of ulcerated barium meal in gastric antrum as intraluminal ulcerative type cancer. Female patient, 56 years old. Due to abdominal pain 6 to 7 years, increased in February treatment. 6 to 7 years have abdominal pain, mostly at night, with acid reflux. Soft stool, 2 to 3 times a day, no mucus. Eat pepper can be induced by the stomach Shu-ping, happy to treat the pain does not relieve the stomach, and consciously increased pain in recent 2 months, poor mental and malaise. Have served more than 30 years of cervical hormone disease hormone, smoking a day. Outpatient visit after barium double contrast barium, see the large curved side of the stomach a niche about 2cm × 3cm, surrounded by embankments, the impression of ulcerative cancer, it is recommended surgery. Physical examination: no anemia, the left supraclavicular lymph node is not large, normal heart and lung, liver and spleen