摘要
目的 :提高胃镜检查“阴性”的胃粘膜下肿瘤的诊断准确率。方法 :分析本院 1996～ 1999年 6例胃镜检测“阴性” ,经病理证实为胃粘膜下肿瘤病例。结果 :3例术前经保守治疗后症状缓解 ,5例术前CT提示胃恶性肿瘤 ,2例B超提示恶性肿瘤。术后病理诊断 3例为淋巴瘤 ,1例为胃癌 ,1例为神经鞘瘤 ,1例为平滑肌肉瘤。结论 :对于胃镜检测“阴性”者 ,应结合病史、CT、GI及B超进行综合分析 。
Purpose:To improve the diagnostic accuracy of gastric submucosal tumor whose endoscopy was negative. Methods:Six cases of gastric submucosal tumor with “negative” results of endoscopy were analyzed. Results:Before operation 3 were recieved by medicinal management, 5 were diagnosed as malignant tumor by CT, 2 were shown to be tumor by ultrasound. There were 3 gastric lymphoma, 1 gastric adenocarcinoma, 1 gastric Schwannoma and 1 gastric leiomyosarcoma confirmed by postoperational pathologic diagnosis. Conclusions:If suspicion remains in endoscopy diagnosis, procedure should involve careful physical examination, CT, B US, GI and so on to improve the diagnostic accuracy. [
出处
《中国癌症杂志》
CAS
CSCD
2001年第3期236-237,共2页
China Oncology
关键词
胃粘膜肿瘤
胃镜
诊断
gastric
submucosal
tumor
endoscopy
diagnosis
