摘要
目的:探讨胃平滑肌肉瘤临床特征,总结其诊断和治疗经验。方法:回顾性分析两医院1993年1月～2002年12月20例胃平滑肌肉瘤临床资料,从临床表现、诊断和治疗等总结其临床特征。结果:胃平滑肌肉瘤占同期胃恶性肿瘤的0.98%。临床表现为上消化道出血,腹痛,腹部包块,贫血及体重下降。肿瘤瘤体大,多位于胃的近侧部,以胃内、胃外型为主。转移方式以肝和瘤体附近淋巴结多见,肿瘤转移与其大小、生长部位、生长方式无关(P>0.05)。胃镜下活检成功率较低,手术及病理检查是诊断和治疗的最佳方法。结论:胃平滑肌肉瘤临床表现缺乏特征性,肿瘤容易转移至肝和附近淋巴结,手术及病理检查是诊断和治疗的最佳方法。
Objective： To discuss the clinical manifestations and summarize its diagnostic as well as the therapeutical experiences in patients with gastric leiomyosarcoma. Methods ： Twenty cases of gastric leiomyosarcoma were retrospectively studied at two hospitals from January 1993 to December 2002. Clinical manifestations, the diagnosis and therapy were studied. Results： Gastric leiomyosarcoma represented about 0.98 % of primary malignant tumors of the stomach. The clinical manifestations in patients with gastric leiomyosarcoma were upper gastrointestinal tract bleeding, abdominal pain, intra - abdominal lump, anaemia and body weight loss. Tumor normally located at the proximum of stomach, protruded towards inside or outside from stomach wall with a large size. Leiomyosarcoma of stomach most frequently metastasized to liver and the regional lymphoid node around. The metastasis of tumor had no relations with the size, location and growth pattern （ P 〉 0.05）. It was difficult to obtain histopathological material from endoscopic examination. Operation and histopathology was the best methods in diagnosis and therapy. Conclusions： The clinical manifestations of gastric leiomyosarcoma were lack of specific features and easy to misdiagnose as other diseases. Tumor probably metastasized to liver and regional lymphoid node. Operation and histopathology were the best methods in diagnosis and therapy.
出处
《华西医学》
CAS
2005年第4期664-665,共2页
West China Medical Journal
关键词
胃平滑肌肉瘤
诊断
转移
Gastric leiomyosarcoma
Diagnosis
Metastasis
