胃肠道间质瘤38例临床分析

Clinical analysis of gastrointestinal stormal tumor:areport of 38 cases

目的探讨胃肠道间质瘤(GIST)的临床特点及诊治的方法。方法回顾性分析38例GIST患者的临床资料。结果临床主要表现为腹部疼痛和腹部不适34例,腹部包块10例,消化道出血8例;病变部位胃20例,小肠14例,结肠直肠4例。38例患者均行手术治疗。结论内镜以及影像学检查对GIST病变定位有重要作用。GIST的确诊依靠病理学检查。手术切除是病理确诊和治疗的主要方法。

Objective To investigate the clinical and immunohistochemical features,diagnosis and treatment of gastrointestinal stromal tumor（GIST）, Methods Clinic and pathological dates of 38 cases with GIST were retrospectively analyzed- Results The most common clinal maifestions were abdominal pain, distention or discomfort in 24 cases（50% ） ,abdominal mass, in 10 ,melena and liematemesis. in 8 case , The tumor was located in the stomach in 20 cases,the small infestine in 14,the colorectum in 4. All the cases underwent operation. Conclusion Endoscopy and imaging examination are main methods to detect GIST. Surgical resection is the main mothod of pathologic diagnosis and treatment.