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出 处:《临床医学进展》2023年第2期1485-1492,共8页Advances in Clinical Medicine
摘 要:胃间质瘤是最常见的胃壁非上皮性间叶源性肿瘤,具有恶性潜能,起病隐匿,无特异性表现,病理证实为恶性者预后较差,早诊断早治疗可明显改善患者预后。近年来,随着超声内镜技术水平不断提高及广泛运用,已成为公认的胃间质瘤的首选检查方法,且能与其他的胃黏膜下肿瘤鉴别。超声内镜能对胃间质瘤侵袭危险度评估,并更好地指导下一步治疗。超声内镜尚不能作为最终的诊断方式,确诊病变需结合病理结果。Gastric stromal tumor is the most common non epithelial mesenchymal tumor of gastric wall, with malignant potential, hidden onset, and no specific performance. Patients with pathological confir-mation of malignancy have poor prognosis. Early diagnosis and early treatment can significantly improve the prognosis of patients. In recent years, with the continuous improvement and wide ap-plication of endoscopic ultrasonography, it has become the recognized first choice for the detection of gastric stromal tumors, and can be differentiated from other gastric submucosal tumors. Endo-scopic ultrasonography can evaluate the invasion risk of gastric stromal tumors and better guide the next treatment. Endoscopic ultrasonography can not be used as the final diagnostic method, and the diagnosis of lesions needs to be combined with pathological results.
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