胃间质肿瘤临床诊治分析  

Clinical diagnosis and treatment of gastric stromal tumors

作　　者：赵平[1] 任卫国[2] 唐令超[1] 丁志[1] 

机构地区：[1]四川省肿瘤医院,成都610041 [2]四川省广元市410医院

出　　处：《中国肿瘤临床与康复》2006年第1期39-40,共2页Chinese Journal of Clinical Oncology and Rehabilitation

摘　　要：目的探讨胃间质肿瘤的临床病理诊断、外科治疗以及预后。方法回顾分析8例经过外科手术治疗的胃间质肿瘤患者的临床病理资料。结果手术局部切除4例,类似于胃癌根治手术(D2)4例。良性6例,恶性2例,主要表现为胃黏膜下孤立性包块。绝大多数无黏膜破坏,有黏膜破坏者常常较大并且伴有深入肿瘤的窦道。手术后病理检查无淋巴结转移。免疫组织化学CD117阳性5例,CD34阳性4例。结论肿瘤大体的生长特点有助于该病的诊断及手术治疗方式的选择,细胞学和免疫组织化学可以明确诊断,预后较好。Objective To investigate the clinical diagnosis , surgical treatment and prognosis of gastric stromal tumors （GSTs）. Methods The clinical data of 8 cases of GSTs undergoing surgical treatment from March 1990 to February 2004 were analysed retrospectively. Results Six benign and 2 malignant GSTs underwent radical resection in 4 cases and tumour resection in other 4 cases. They mainly manifested as solitary tumour under mucosa. Most of them had no damage of mucosa and the tumors in those who had damage of mucosa were often large a long tract from the center of the tumour. Lymph node metastasis of tumour was not found by pathological examination after surgical treatment. Expression of CD117 and CD34 was 5/8 and 4/8, respectively. Conclusion Gross morphology of the tumour can help diagnosis and treatment of it, but cytology and immunohistochemical markers can confirm the diagonosis. Its prognosis is good.

关 键 词：胃肿瘤/外科学 

分 类 号：R735.2[医药卫生—肿瘤] R730.56[医药卫生—临床医学]