摘要
目的 探讨胃平滑肌肉瘤的诊断、病理学特点及外科治疗。方法 回顾性分析16例胃平滑肌肉瘤的临床资料。结果 术前确诊仅 5例 (31 3 % )。 16例均予手术治疗并经病理学证实。随访中 3例因肿瘤广泛扩散而衰竭死亡 ;1例于术后 3年发生肝转移而予再次手术 ,再次手术后已存活 5年 ;其余病例情况良好。结论 胃平滑肌肉瘤的诊断要根据病史、多种辅助检查、以及术中、术后病理等综合分析。手术切除为其首选治疗方法 ,在术式选择上应根据肿瘤的范围和位置而定 。
Obiective To study the pathological characteristics, diagnosis and treatment of leiomyosarcoma of stomach(LSS). Methods The clinical data of 16 cases of LSS diagnosed by both operation and pathology were analysed retrospectively. Results Only 5 cases(31.3%) were diagnosed before operation. All 16 cases were operated. In follow up period, 3 cases died of extensive metastases and cachexia. 1 case developed hepatic matastasis, received reoperation and lived 5 years after reoperation. The others got along well. Conclusions Comprehensive analysis is needed for diagnosis, including the histroy, the result of special examination, tumor gross form and pathologic examination during and after operation. Resection is the primary treatment. The choice for operation should lie on the site, size and biologic action of the tumor. In most cases, extended gastrectomy and lymphonode clearance are not needed.
出处
《中国普通外科杂志》
CAS
CSCD
2000年第4期305-307,共3页
China Journal of General Surgery
