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目的探讨胃间质瘤的诊断及治疗方法。方法对32例胃间质瘤患者的临床资料进行回顾性分析。结果术前内镜、CT等检查有助于诊断;所有病例均手术治疗;免疫组化结果,CD117阳性29例(占90.6%)、CD22阳性22例(占68.7%)。结论胃间质瘤缺乏特征性的临床表现,确诊多需术后病理结果;CD117阳性是诊断胃间质瘤的关键指标;手术切除是治疗的首选方法,术中应尽量彻底切除肿瘤;结合格列卫可获得更好的治疗效果。
Objective To investigate the diagnosis and treatment of gastric stromal tumors. Methods The clinical data of 32 patients with gastric stromal tumors were retrospectively analyzed. Results The preoperative endoscopy and CT examination were helpful for the diagnosis. All the cases were surgically treated. The results of immunohistochemistry showed that CD117 positive was 29 (90.6%) and CD22 positive was 22 (68.7%). Conclusions Gastrointestinal stromal tumor lacks characteristic clinical manifestations and requires more postoperative pathological diagnosis. The positive expression of CD117 is the key indicator for the diagnosis of gastric stromal tumors. Surgical resection is the preferred method of treatment, and the tumor should be completely resected during operation. Column guard can get better treatment.