胃平滑肌肉瘤较少见,现将我科1989年收治的2例,结合临床与病理分析报告如下。1 临床资料例1 男性,55岁。进食梗噎伴上腹部疼痛1个月,于1989年4月8日入院。查体及化验室检查无异常发现。上消化道造影见食管下段钡剂通过受阻,贲门胃底部8cm×6cm×6cm大肿块,行肿瘤切除,食管胃弓下吻合术。病理检查:肉眼所见,在胃贲门部小弯侧可见一肿物,大小约6cm×5cm×4cm,突向胃腔,肿物表面可 Gastric leiomyosarcoma is rare, and two cases treated in our department in 1989 are combined with clinical and pathological analysis as follows. 1 Clinical data Example 1 Male, 55 years old. He was admitted to hospital on April 8th, 1989 after having eaten with upper abdominal pain for 1 month. No abnormal findings were found in physical examinations and laboratory examinations. In the upper gastrointestinal tract imaging, the esophageal inferior block was blocked, and a large lump of 8cm x 6cm x 6cm at the bottom of the gastric cardia was used for tumor resection and esophageal and gastric bowel anastomosis. Pathological examination: As seen by the naked eye, a tumor is seen on the small curve side of the gastric cardia. The size is about 6cm x 5cm x 4cm, and it protrudes toward the stomach cavity. The surface of the tumor can be