原发性肠系膜实体瘤32例分析

Primary mesentery solid tumor (a report of 32 cases)

目的探讨原发性肠系膜实体瘤的诊断和治疗方法。方法回顾性地分析３２例肠系膜实体瘤的临床资料。结果３２例中恶性２０例（６２５０％）、良性１２例（３７５０％）。病理报告以恶性淋巴瘤为最多，平滑肌肉瘤次之。肿瘤多位于回肠系膜和小肠系膜根部，临床误诊率高（９０６２％）。结论本病术前确诊率低（本组９３８％），手术切除肿瘤仍为当前主要治疗方法。不能行根治性切除的肿瘤或术后肿瘤复发者，应积极行手术减瘤或再减瘤治疗。恶性淋巴瘤患者，术后辅以放疗和化疗是获得长期生存的有效措施之一。

Objective To explore the diagnosis and treatment of primary mesentery solid tumor (PMST). Methods The clinical data of 32 cases of PMST confirmed by histopathology were reviewed. Results Of the 32 cases, 20 cases (62.50%) were malignancies and 12 benign tumors. In the malignant tumors, there were mainly malignant lymphma and leiomyosarcoma, which mostly located at the root of mesentery of small intestine. The results also showed that the misdiagnosis rate (90.62%) of PMST was high before operation. Conclusions The correct diagnosis rate is low before operation. Surgical resection is the best choice of treatment.