【摘要】 目的探讨胃肠道间质瘤的诊断和治疗方法。方法回顾性分析近5年间收治的3 2例胃肠道间质瘤的临床和病理资料。结果肿瘤多位于胃部,最多见的临床表现为腹部隐痛不适。手术前8 1.3%(2 6/3 2)的病例有不同程度的误诊。均行外科手术切除。其中因复发而2次手术者1 0例,3次及以上手术者8例。随访时间6个月至5年,死亡8例。结论胃肠道间质瘤容易误诊,其确诊主要依靠病理组织学检查及免疫组化染色。治疗以外科手术切除为主。复发的病例亦可反复手术而取得较为满意的效果。更多还原

【Abstract】 Objective To explore the diagnosis and treatment of gastrointestinal stromal tumors(GISTs).Methods Clinical and pathological data of the 32 GISTs cases treated over the recent 5 years in our hospital were reviewed retrospectively.Results Stomach was the most frequent site for GISTs.Abdominal pain was the most common symptom.Before operation,81.3%(26/32) of the cases were misdiagnosed.All of the cases underwent surgical resection.10 recurrent GIST patients received a second resection,and 8 patients(underwant) three or more resections.Follow-up was made from six months to 5 years,and 8 patients died.Conclusions The diagnosis of GISTs is difficult and mainly depends on histopathology and(immunohistochemistry).Surgical resection is the principal treatment of GISTs.Reoperation is effective for the treatment of recurrent cases.更多还原