胃肠恶性间质瘤28例诊治分析  

The clinical diagnosis and treatment of malignant gastrointestinal stromal tumor

作　　者：洪岩[1] 陆波 肖献秋[3] 高兴[1] 张国强[1] 周凤英 董晓 龚伟达 

机构地区：[1]江苏大学附属宜兴医院普外科,江苏省宜兴214200 [2]宜兴市肿瘤医院外科 [3]解放军第一0一医院普外科

出　　处：《中国基层医药》2011年第14期1904-1906,共3页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的 探讨胃肠恶性间质瘤的临床诊断与治疗措施.方法 回顾性分析经手术治疗的28例胃肠恶性间质瘤患者的临床资料.结果 胃肠恶性间质瘤成年人多见,50岁以上占71.4%（20/28）,常见的临床症状是消化道出血、贫血以及疼痛.病变部位：胃19例,小肠8例,结肠1例.行根治性切除22例,局部切除5例,姑息性切除1例,其中3例为联合脏器切除.结论 胃肠恶性间质瘤诊断的主要手段是内镜和影像学检查.手术切除是病理确诊和治疗的主要方法,必要时需联合脏器切除.Objective To study the clinical diagnosis and treatment of malignant gastrointestinal stromal tumor. Methods To retrospectively analyze the clinical data of 28 cases with malignant gastrointestinal stromal tumors underweat surgical treatment . Results The malignant gastrointestinal stromal tumor in adults were more than 50 years old,71.4%（20/28） ,and common clinical symptoms were gastrointestinal bleeding,anemia,and pain. The lesion site： 19 cases of gastric bowel, 8 cases of small intestine, 1 case of colon, radical excision in 22 cases, local excision palliative resection in 5 cases, three cases were multi-visceral resection. Conclusion Malignant gastrointestinal stromal tumor could be diagnosed by the means of endoscopic imaging and clear,and preoperative diagnosis was difficult. Surgical resection was the pathology diagnosis and treatment of primary method,if necessary,to ensure multi-visceral resection of the tumor to prevent recurrence of thoroughness, had important significance.

关 键 词：胃肠道间质肿瘤 诊断显像 病理学 外科手术 

分 类 号：R735[医药卫生—肿瘤]