摘要
目的:分析胃神经鞘瘤的临床、病理学特征并探讨其诊疗方法。方法:收集胃神经鞘瘤患者8例,对其病理学特征,诊断及治疗方法结合文献复习,进行回顾性分析。结果:8例无一例确诊。均行手术治疗,其中部分切除2例,胃大部切除6例。有6例随访超过6个月,除1例恶性者术后半年复发死亡外,其余5例均未有复发转移。结论:胃神经鞘瘤术前确诊困难,主要依靠病理学检查,术中快速病理切片对明确诊断和确定术式有重要意义。免疫组化有助于和平滑肌瘤鉴别。治疗以手术为主,良性可行胃部分切除,恶性者扩大切除范围也能达到根治目的。
Objective:To analyze the clinical and pathological characters of Gastric Schwannoma and investigate the ways of diagnosis and treatment. Methods: 8 cases suffered from gastric schwannoma that had been proved by pathology were collected. Rrtrospective analysis was used over there pathological characters,diagnosis and treatment,combined with correlating references. Results: None of them got confirmed diagnosis. Each of the cases was treated with operative tre-ament. 2 cases were partial excised and the others underwent subtotal gastrectomy. Altogether 6 cases persevered in follow - up surveys for more than 6 months, among which 5 cases lived without relapse or transference and the other one died of recurrence of the tumors 6 months after the operation. Conclusions: It is difficult to confirm diagnosis of gastric schwannoma before operation. The diagnosis still depends on pathological examination. Intraoperative frozen section is useful in determining diagnosis and excising scale. And immunohistochemical analysis is helpful for differentiation between schwannoma and liomyoma. Surgical operation is the main therapeutic method of gastric schwannoma. Partial gastrectomy can be carried out in benign tumors,while malignant ones need expand the excising scale to attain the goal of radical cure.
出处
《中国厂矿医学》
2003年第2期95-96,共2页
Chinese Medicine of Factory and Mine
关键词
诊断
治疗
胃神经鞘瘤
病理学
Gastric neoplasm Schwannoma Diagnosis Treatment Pathological examination
