胃肠道间质瘤的诊断和治疗

Diagnosis and Treatment of Gastrointestinal Stromal Tumors

目的 :探讨胃肠道间质瘤 (GastrointestinalStromalTumors ,GISTs)的诊断和治疗。方法 :回顾分析我院自 1999年 11月至 2 0 0 3年 5月收治的GISTs患者的病历资料。结果 :本组 39例GISTs患者 ,其中恶性 15例 ,低恶性 2 4例。肿瘤发生部位分别为 :胃 18例 ,小肠 9例 ,直肠 3例 ,其他部位 10例。 39例患者中 2例因复发伴腹腔广泛转移未手术 ;37例行手术治疗 ,其中手术切除 34例 ,姑息性切除 3例。结论 :GISTs术前诊断困难 ,手术切除是治疗GIST的主要手段。

Objective:To study the diagnosis and treatment of Gastrointestinal Stromal Tumors(GISTs).Methods:The medical data on the 39 cases with GISTs treated in our hospital from November 1999 to May 2003 were carefully analyzed retrospectively.Results:The tumors in 15 of the 39 cases were malignant while those in the other 24 cases were of low malignancy.The tumor in 18 cases occurred in the stomach;9 in the small bowel;3 in the rectal colon and 10 cases were found in the other parts of the intraperitoneal cavity.Among the 39 cases,37 had surgical operations,and 2 received nonsurgical treatment.The tumors in 34 of the 37 cases who had the surgical operations were totally removed and the tumors in the other 3 were partly removed.Conclusions:The diagnosis of GISTs was often difficult to make before operation,and a surgical operation was the main method to manage GISTs.