摘要
目的探究胃肠道间质瘤的临床病理特征及诊断治疗方案。方法选择我院收治的胃肠道间质瘤患者122例,分析患者的病灶分布情况、临床表现,所有患者实施病理诊断及治疗,探究诊疗效果。结果胃肠道间质瘤病灶发生在胃部最多,其次为结直肠、小肠部位,其他部位较少。临床特征多表现为腹部胀痛、腹部包块、消化道出血。经过病理诊断,良性52例(42.62%),恶性30例(24.59%),潜在恶性40例(32.79%)。所有患者手术治疗效果明显,实施根治性切除术50例,实施病灶部位切除术72例。结论胃肠道间质瘤在临床上罕见,容易被误诊为平滑肌肉瘤及平滑肌瘤,手术切除是胃肠道间质瘤的有效治疗手段,效果确切。
Objective To investigate the clinicopathological features of gastrointestinal stromal tumors and explore the diagnosis and treatment plan.Methods A total of 122 patients with gastrointestinal stromal tumor in our hospital were selected.The distribution of lesions and clinical manifestations of patients were analyzed.And all patients were diagnosed and treated pathologically in order to explore the effects of diagnosis and treatment.Results The stomach was the most vulnerable site for onset of gastrointestinal stromal tumor lesions,followed by the colorectum and small intestine,and the onset of the lesions were rarely found with other sites.The clinical features were found to be abdominal distended pain,abdominal mass or gastrointestinal bleeding,and 52 cases(42.62%)with benign tumors,30 cases(24.59%)with malignant tumors and 40 cases(32.79%)with potentially malignant tumors were confirmed after pathological diagnosis.The treatment effects on all patients were significant.Totally 50 patients underwent radical resection and 72 were treated with focal site resection.Conclusion Gastrointestinal stromal tumors are rare in clinical practice and can be easily misdiagnosed as leiomyosarcoma and leiomyoma.Surgical resection is an effective treatment method for gastrointestinal stromal tumors with exact efficacy.
作者
韩松云
王龙安
HAN Song-yun;WANG Long-an(Department of Pathology,Donghai County People's Hospital,Lianyungang222300,China)
出处
《中国误诊学杂志》
CAS
2020年第7期303-304,共2页
Chinese Journal of Misdiagnostics
关键词
胃肠道间质瘤
病理特征
诊治方式
gastrointestinal stromal tumor
pathological features
diagnosis and treatment
