| 胃癌合并胃间质瘤的诊治体会 |
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| 引用本文： | 涂朝勇,朱锦德,邵初晓,周新木,姜川,张恒.胃癌合并胃间质瘤的诊治体会[J].中华普通外科杂志,2011,26(1). |
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| 作者姓名： | 涂朝勇 朱锦德 邵初晓 周新木 姜川 张恒 |
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| 作者单位： | 1. 丽水市中心医院普外科,浙江省,323000
2. 丽水市中心医院病理科,浙江省,323000 |
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| 摘 要： | 目的 探讨胃癌合并胃间质瘤的诊断与治疗.方法 回顾性分析1996年1月至2009年12月18例胃癌合并胃间质瘤患者的临床资料.结果 本组18例患者均无特异性临床表现,术前确诊1例,术中确诊3例,术后确诊14例.胃癌病灶大小平均为(3.3±2.3)cm,胃间质瘤病灶大小平均为(0.9±0.5)cm.胃间质瘤病灶处于低度危险性16例,中度危险性2例.所有病例手术顺利,术后1、3、5年总体生存率分别为88%、63%和36%.结论 胃癌合并胃间质瘤的临床表现无特异性,其中胃间质瘤多为早期病灶,恶性程度低,采取以手术为主的综合治疗,预后主要取决于胃癌病灶.Abstract：Objective To study the diagnosis and treatment of synchronous gastric cancer and gastric stromal tumor in 18 cases. Methods Clinical data of 18 cases of synchronous occurrence of gastric cancer and gastric stromal tumor from January 1996 to December 2009 were analyzed retrospectively.Results Clinical features of all cases were atypical. There was 1 case diagnosed preoperatively, 3 cases diagnosed intraoperatively and 14 cases diagnosed postoperatively. The mean size of gastric cancer and gastric stromal tumor was (3.3±2.3) cm and (0.9 ±0.5) cm respectively. There were 16 cases of gastric stromal tumor in low risk of malignance and 2 cases in moderate risk of malignance. All cases were operated without complications and the 1-year, 3-year and 5-year overall survival rate was 88.2%, 63.2% and 36. 1% respectively. Conclusions Clinical features of synchronous occurrence of gastric cancer and gastric stromal tumor are atypical, in this series most gastric stromal tumors are in early stage and of low risk of malignance. The prognosis of patients with synchronous occurrence of gastric cancer and gastric stromal tumor mainly depends on gastric cancer.
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| 关 键 词： | 胃肿瘤 胃肠道间质肿瘤 胃切除术 预后 |
Diagnosis and treatment of synchronous gastric cancer and gastric stromal tumor |
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| TU Chao-yong,ZHU Jin-de,SHAO Chu-xiao,ZHOU Xin-mu,JIANG Chuan,ZHANG Heng.Diagnosis and treatment of synchronous gastric cancer and gastric stromal tumor[J].Chinese Journal of General Surgery,2011,26(1). |
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| Authors: | TU Chao-yong ZHU Jin-de SHAO Chu-xiao ZHOU Xin-mu JIANG Chuan ZHANG Heng |
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| Abstract: | Objective To study the diagnosis and treatment of synchronous gastric cancer and gastric stromal tumor in 18 cases. Methods Clinical data of 18 cases of synchronous occurrence of gastric cancer and gastric stromal tumor from January 1996 to December 2009 were analyzed retrospectively.Results Clinical features of all cases were atypical. There was 1 case diagnosed preoperatively, 3 cases diagnosed intraoperatively and 14 cases diagnosed postoperatively. The mean size of gastric cancer and gastric stromal tumor was (3.3±2.3) cm and (0.9 ±0.5) cm respectively. There were 16 cases of gastric stromal tumor in low risk of malignance and 2 cases in moderate risk of malignance. All cases were operated without complications and the 1-year, 3-year and 5-year overall survival rate was 88.2%, 63.2% and 36. 1% respectively. Conclusions Clinical features of synchronous occurrence of gastric cancer and gastric stromal tumor are atypical, in this series most gastric stromal tumors are in early stage and of low risk of malignance. The prognosis of patients with synchronous occurrence of gastric cancer and gastric stromal tumor mainly depends on gastric cancer. |
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| Keywords: | Stomach neoplasms Gastrointestinal stromal tumors Gastrectomy Prognosis |
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