小肠间质瘤的诊治(附8例报告)  

DIAGNOSIS AND TREATMENT OF STROMAL TUMORS IN SMALL INTESTINE:A REPORT OF EIGHT CASES

作　　者：朱延朋[1] 李伟华[2] 孙春亮[2] 

机构地区：[1]青岛大学医学院,山东青岛266071 [2]中国人民解放军第401医院

出　　处：《齐鲁医学杂志》2008年第6期500-501,共2页Medical Journal of Qilu

摘　　要：目的总结小肠间质瘤的临床特点、诊断及治疗经验。方法回顾分析我院2002～2007年经手术切除并确诊的8例小肠间质瘤的临床资料。结果小肠间质瘤男女均可发病,男女之比5∶3;临床表现以腹痛、腹胀、便血、贫血、腹部包块为主;B超、CT检查较肠镜、钡餐检查诊断率高;发生于空肠6例,回肠1例,空回肠交界1例;免疫组化CD117阳性率为75.0%,CD34阳性率为62.5%,其共同表达率为62.5%。术后随访1月～5年,无1例转移及复发。结论小肠间质瘤的诊断依赖于B超、CT及免疫组化检查,手术切除是其主要的治疗方法。Objective To summarise the clinical features and treatment of stromal tumors of small intestine. Methods The data of the disease confirmed by surgery in eight patients treated in 2002--2007 at this hospital were analyzed. Results The male female ratio was 5 ： 3, the main manifestations were abdominal pain, abdominal distention, hemafecia, anemia, and abdominal mass. Uitrasonography and CT were better than endoscopy and barium meal in terms of the detection. Six tumors were located in jejunum, one in ileum, and one at jejunum-ileum junction. The positive immunohistochemical rates of CD117 and CD34 were 75.0% and 62.5%, respectively. No metastasis or recurrence was seen during postoperative follow-up for one month to five years. Conclusion The diagnosis of stromal tumors of small intestine relies upon sonography and immunohistology. Surgery is the first choice of therapy.

关 键 词：胃肠道间质肿瘤 小肠 诊断 治疗 

分 类 号：R656.7[医药卫生—外科学]