胃肉瘤17例临床分析

Clinical Analysis of Gastric Sarcomas

胃肉瘤少见,占胃肿瘤的2％～3％。本文17例中胃淋巴瘤9例,平滑肌肉瘤7例,神经纤维肉瘤1例。临床表现以食欲不振,腹疼及消化道出血为主,与胃癌不易鉴别。深挖洞咬检可提高胃镜的阳性发现,超声胃镜有一定价值。以手术治疗为主,辅以化疗,胃淋巴肉瘤对放疗敏感。

Sarcoma of stomach is a rare non-epithelial malignant tumor and makes up 2-3 percent of tumors of stomach. Seventeen cases of the disease were reported, among which there were 9 cases of gastric lymphosarcoma, 7 cases of leiomyosarcoma and 1 case of neurolibrosarcoma. Their clinical manifestations mainly included anorexia,abdominalgia and hemorrhage of digestive tract,and the differentiation from carcinoma was difficult to make. The use of deep biopsy may elevate the positive rate of gastroscopy, and ultrasonic gastroscopy is also of certain values. Patients can rely mainly on surgical therapy while making chemotherapy subsidiary. Gastric lymphosarcoma is sensitive to radiotherapy. sarcoma leiomyosarcoma lymphosarcoma