摘要
目的 :探讨胃平滑肌肿瘤的临床、内镜以及病理特点。方法 :1990年～ 2 0 0 0年经我院治疗的胃平滑肌肿瘤 4 1例 ,对其临床、病理及内镜检查资料等进行分析。随访时间为 1～ 5年。结果 :胃平滑肌肿瘤的主要临床表现为腹痛、体重减轻及上消化道出血 ,好发部位是胃底和胃体部。内镜下表现为隆起型 34例 (82 .9% ) ,溃疡型 6例 (14 .6 % ) ,浸润型 1例 (2 .4 % )。内镜活检与术后病理符合率为 9.8%。平均 2 5个月的随访中 ,8例死于转移 ,6例有局部复发。结论 :胃平滑肌肿瘤由于其发病率低临床表现特殊 ,易造成误诊和漏诊 ,内镜为诊断GSMT的有效手段 ,但确诊仍靠病理。
Objective:To evaluate the clinical manifestations, endoscopic and pathologic characteristics of gastric smooth muscle tumors(GSMT). Methods:The clinical roentgenography and endocopic materials of 41 patients with GSMT were retrospectively reviewed and analyzed including 1～5 years long-term follow-up between 1990～2000.Results:The clinical presentations of 41 patients with GSMT were including abdominal pain, loss of weight and upper gastrointestinal hemorrhage.GSMT involved most commonly in the fundus and body of stomach. All of the patients were examined by endoscopy with protruding (including benign and malignant GSMT), ulcerative lesions and infiltrative accounted for 82.9%, 14.6% and 2.4% respectively. 41 cases of GSMT were treated by surgical excision, the coincidence rate of endoscopic biopsy with pathology of resected specimen was 9.8% percent. During an average follow-up 25 months, 8 patients died of metastasis, local recurrence occurred in 6 patients.Conclusion: GSMT is very likely to be misdiagnosed or neglected due to its rarity and specificity. Gastroscopy remains to be valuable set to correct diagnosis of GSMT, but definite diagnosis depends on pathological examination. Malignant diagnosis in pathology, infiltration of tumor cells into the neighboring tissue were all positively related to the local recurrence and metastasis of GSMT.
出处
《中国内镜杂志》
CSCD
2002年第8期19-22,共4页
China Journal of Endoscopy
关键词
胃平滑肌肿瘤
临床特点
内镜
病理学
诊断
肿瘤转移
Stomach Neoplasms
Stomach
Gastric Smooth Muscle Tumors
Clinical Features
Endoscopy
Pathology
