小肠间质瘤妇科误诊四例分析

目的探讨小肠间质瘤造成妇科误诊的原因和误诊后手术原则及治疗方案。方法对误诊4例女性小肠间质瘤患者的临床资料进行回顾性分析。结果4例患者行腹部彩色超声检查，1例患者误诊为子宫肌瘤，3例患者误诊为卵巢肿瘤，均未进一步行腹部CT或者磁共振检查，由妇科开腹手术后转入普外科诊治。4例患者均病理证实为小肠间质瘤。结论对于考虑卵巢或子宫肿瘤伴有黑便的患者，必须进行小肠间质瘤的鉴别，进一步CT检查对明确女性小肠间质瘤的诊断减少妇科误诊有较高价值，必须坚持手术原则及术后口服甲磺酸伊马替尼。

Analysis of gynecological misdiagnosis in four patients with small intestinal stromal tumor

Objective To investigate the cause of gynecological misdiagnosis in small intestinal stromal tumor and operation principle, treatment protocol. Methods Gynecological misdiagnosis in 4 female patients with small intestinal stromal tumor admitted were retrospectively analyzed. Results Four patients had abdominal ultrasound examination, 1 patient was misdiagnosed as hysteromyoma, 3 patients were misdiagnosed as ovarian tumor. All patients without further abdominal CT or MRI examination, operated by gynecology first and then treated by general surgery. All of 4 patients were confirmed with small intestinal stromal tumor by pathology. Conclusions For patients who are considered with hysteromyoma or ovarian tumor have melena must be identified with small intestinal stromal tumor. Further CT examination is valuable and can reduce misdiagnosis. Operation principle and oral imatinib mesylate after operation must be insisted.