| 94例胃肠道间质瘤临床诊治分析 |
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| 引用本文： | 夏绍友,刘苏健,李荣.94例胃肠道间质瘤临床诊治分析[J].军医进修学院学报,2009,30(2). |
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| 作者姓名： | 夏绍友 刘苏健 李荣 |
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| 作者单位： | 1. 解放军总医院普通外科,北京,100853
2. 解放军总医院普通外科,北京,100853;北京航天总医院,北京,100076 |
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| 摘 要： | 目的:探讨胃肠道间质瘤(GIST)的诊断与治疗.方法:对1998年1月-2007年12月收治的94例GIST患者病理特点及外科治疗进行回顾性分析.结果:本组GIST发生部位:胃54例(57.4%),小肠22例(23.4%),结肠11例(11.7%),直肠6例(6.4%),肛管1例(1.1%).主要临床表现为消化道出血(56.3%)和腹部肿块(32.1%), 94例均行手术切除.术后1年、 3年、 5年存活率为83.4%、 53.2%、 38.8%,良性及交界性患者均无复发;23例恶性患者中9例复发,其中5例死亡.结论: GIST以胃及小肠最多见,以消化道出血、腹部肿块表现为主.GIST的诊断有赖于病理形态学检查与免疫组化的结合.完整的手术切除是最有效的治疗手段.
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| 关 键 词： | 胃肠道间质肿瘤 诊断 治疗 |
Diagnosis and treatment of gastrointestinal stromal tumor:An analysis of 94 cases |
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| XIA Shao-you,LIU Su-jian,LI Rong.Diagnosis and treatment of gastrointestinal stromal tumor:An analysis of 94 cases[J].Academic Journal of Pla Postgraduate Medical School,2009,30(2). |
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| Authors: | XIA Shao-you LIU Su-jian LI Rong |
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| Institution: | 1.Department of General Surgery;Chinese PLA General Hospital;Beijing 100853;China;2.General Hospital of Aerospace;Beijing 100076;China |
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| Abstract: | Objective:To study the diagnosis and treatment of gastrointestinal stromal tumor(GIST).Methods:Clinical symptoms,pathologic characteristics,and surgical treatment of 94 GIST patients admitted from January 1998 to December 2007 were retrospectively analyzed.Results:GIST was located in stomach of 54 cases(57.4%),in small intestine of 22 cases(23.4%),in colon of 11 cases(11.7%),in rectum of 6 cases(6.4%),and in anal canal of 1 cases(1.1%),respectively.The main clinical manifestations of GIST were alimentary tr... |
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| Keywords: | gastrointestinal stromal tumors diagnosis therapy |
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