摘要
胃肠间质瘤是来源于胃肠道未定向分化的的间质细胞肿瘤,可以发生于消化道的各个部位,十二指肠间质瘤的发生率较低。十二指肠间质瘤多见于中老年人,临床表现不典型,早期诊断困难,需要结合腹部CT、内镜及超声内镜等辅助检查协助诊断,但是最终依靠组织病理学以及免疫组织化学检测结果确定。手术治疗是十二指肠间质瘤的有效治疗方法,包括胰十二指肠切除术、十二指肠局部切除、十二指肠节段切除术、胃大部切除术等,需要根据肿瘤的大小、部位、与周围组织器官的关系以及基因检测结果制定个体化的、规范的手术及辅助治疗方案。
Gastrointestinal stromal tumors （GIST） is the mostcommon mesenchymal tumors of the gastrointestinal tract and occur in any part of the gas.trointestinal tract. But the incidence of duodenal stromal tumors is very low. They usually occur in the middle aged and elderly people and clinical symptoms are unrepresentative. The early diagnosis is difficult and should combine abdominal CT, endoscopy and endoscopic uhrasonography, but depends on histopathology and immunohistochemistry finally. Surgical operation is the best effective treament of duodenal stromal tumors, including pancreaticoduodenectomy, subtotal gastrectomy, segmental duodenectomy and simple tumor resection, etc. The individualized, normative operation and adjuvant therapy of duodenal stromal tumors are according to the size, location, adjacent organs of tumors and their genetic test results.
出处
《中国实用外科杂志》
CSCD
北大核心
2015年第4期403-406,共4页
Chinese Journal of Practical Surgery
关键词
十二指肠间质瘤
胃肠间质瘤
duodenal stromal tumor
gastrointestinal stromal tumor
