胃平滑肌肉瘤31例临床分析

目的 :探讨胃平滑肌肉瘤的辅助检查和治疗措施。方法 :对已经病理证实的 31例胃平滑肌肉瘤的辅助检查和治疗措施做分析。结果 :所有病例手术前检查如上消化道钡餐透视、B超、CT、胃镜、DSA等均可以提示胃平滑肌肉瘤 ,但是不能鉴别良、恶性。所有病例均行手术治疗 ,根治性手术(2 0例 )疗效好于单纯胃切除及局部切除 (11例 )。结论 :胃镜加活检或手术中快速切片确诊胃平滑肌肉瘤非常重要 ,手术治疗尽可能采用根治手术。

Diagnosis and treatment of gastric leiomyosarcoma

Objective: To summarize experience on the diagnosis and treatment to gastric leiomyosarcoma.Methods: The clinical data of 31 cases gastric leiomyosarcoma were analyzed retrospectively.Results: Gastrointestinal barium meal,B ultrasound, gastroscopy,computer tomography(CT) and digital subtraction anglography(DSA) were useful for diagnosis of gastric leiomyosarcoma.In 31 cases of gastric leiomyosarcomas,20 were treated with radical operation,11 were subtotal gastrectomy or palliatively resected.The prognosis of patients underwent radical surgery was better than the other treatments.Conclusion:Combined examination of preoperative gastric endoscopy and operative fast frozen biopsy contribute to the diagnosis of gastric leiomyosarcoma,and radical operation is the best choice of the surgery treatment.