肠系膜肿瘤的诊断与治疗  

Diagnosis and treatment of mesenteric tumors

作　　者：苗儒林[1] 季加孚[1] 

机构地区：[1]北京大学肿瘤医院暨北京市肿瘤防治研究所胃肠肿瘤外科,恶性肿瘤发病机制及转化研究教育部重点实验室,北京100142

出　　处：《腹部外科》2014年第1期4-7,共4页Journal of Abdominal Surgery

摘　　要：肠系膜肿瘤在临床实践中属于相对少见的肿瘤类型,但多数腹部外科医生在工作中都会遇到.由于肠系膜组织结构复杂,肠系膜肿瘤组织学类型多样,而不同类型的肿瘤治疗方式又有所差异.因此,肠系膜肿瘤的诊断尤为关键.影像学评估有助于明确肿瘤的性质,另外,若需手术治疗,影像学检查的另一个目的 是评估肿瘤的可切除性.组织学检查目前主要通过穿刺活检或手术活检进行评估.在精准诊断的基础上,根据肿瘤的病理类型,予以不同的治疗策略.在临床实践中,还要注意多学科协作在肠系膜肿瘤治疗中的重要意义.Tumors of mesentery are relatively rare in clinical practice but most abdominal sur- geons will encounter this disease. According to the complexity of histologic components of mesentery, the types of mesenteric tumors are diverse. Thus the diagnosis of mesenteric tumors is essential. Ima- ging evaluation is helpful to differentiate the types of tumor. Furthermore, if operation is needed, an- other major objective of imaging evaluation is to assess the resectability of tumor. Histological evalua- tion is conducted with needle biopsy or surgical biopsy. With an accurate diagnosis, different therapeu- tic strategies are applied according to the types of mesenteric tumors. Meanwhile, multidisciplinary team therapy is of vital importance in the treatment of mesenteric tumors.

关 键 词：腹膜疾病 脂肪瘤 淋巴瘤 纤维瘤 诊断 活组织检查 手术治疗 

分 类 号：R735.4[医药卫生—肿瘤]