胃肠道间质瘤36例临床分析

目的:探讨胃肠道间质瘤临床特点及诊断与治疗效果。方法:回顾性分析经病理证实的36例胃肠道间质瘤患者的临床和病理资料。结果:36例均行手术治疗,其中良性GIST20例,交界性10例,恶性6例。在30例获随访2～3年的当中,有2例死于肿瘤复发转移,1例术后28个月复发再行手术治疗,其余病例均存活。结论:GIST术前诊断较困难,确诊要依赖于病理学检查。手术是主要的治疗方法,分子靶向治疗也具有辅助意义。

Objective：To summarize the clinical character, diagnosis and treatment of gastrointestinal stromal tumor. Methods：The clinical and pathologic data of 36 GIST patients were retrospectively analyzed, which were treated and pathologically proved by lacteal peaceful of my hospital. Results ： Gastrointestinal stromal tumor 36 cases all received operations, in which 20 cases of benign GIST,10 cases of junctional,6 cases of malignant. 30 cases was2 - 3 years of follow-up, in which 2 eases died of tumor recurrenee and metastasis, 1 eases received operation again which relapsed after 28 months. Conclusions： The preoperative diagnosis of GIST is more difficult, and the definite diagnosis of GIST depends on the pathology diagnosis. Radical surgery is the best treatment for GIST, and molecular targeted therapy has a promising assisted effects.