小肠平滑肌肉瘤18例临床分析

Liomyosarcoma of the small bowl:analysis of 18 cases

小肠平滑肌肉瘤是临床罕见之恶性肿瘤,早期无明显症状,临床诊断较困难,确诊时每已较晚,预后较差。作者回顾性总结了本院25年问收治的18例小肠平滑肌肉瘤的临床表现、诊断、手术方法及预后。作者认为:若临床医生能熟悉该病的病理、临床表现及相应的辅助检杏,则早期诊断是不困难的。根除性切除为最佳的治疗方法。肿瘤<5cm,或≥5cm 而无转移,腔内型生长,位于十二指肠及空肠者,细胞有丝分裂<10/50HPF,及作了根除性切除者,有较好的预后。

A total of 18 cases of liomyosarcoma of the small bowl were encountered during the period of 2,5 years. The clinical pictures,diagnosis,surgical approach,and prognosis were discussed.Early diagnosis depends on fa- miliarity with its features,pathology,and appropriate ap- plication of adjuvant examing measures.Radical resec- tion remains as the best therapy.Long term survival could be ex- pected in those with the tumor less than 5cm in diameter;≥5cm without metastasis;intraluminal type;within duodenum and je- junum;those with mitoehysis index of the tumor cell<10/50 HPF;and those underwent radical resection.