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目的 探讨胃间质瘤的特点、诊断和治疗方法。方法 回顾1990年1月~2001年1月收治的胃间质瘤32例 ,结合文献分析。结果 6例肝转移死亡 ,未发现局部复发 ;2例肝转移带瘤生存 ;其余生存良好。结论 本病的诊断依据病史、临床表现 ,结合辅助检查 ,肿瘤大小 ,组织学形态及免疫组化综合分析判断。治疗以局部切除为主 ,恶性者作胃大部或全胃切除 ;淋巴结清扫并不延长生存时间。
Objective To investigate the characteristics, diagnosis and treatment of gastric stromal tumors. Methods From January 1990 to January 2001, 32 cases of gastric stromal tumors were treated with literature analysis. Results Six patients died of liver metastases and no local recurrence was found. Two patients with liver metastases survived and the rest survived. Conclusion The diagnosis of this disease based on history, clinical manifestations, combined with laboratory examinations, tumor size, histological morphology and immunohistochemical analysis. The treatment of local excision of the main, malignant stomach or gastrectomy; lymph node dissection does not extend the survival time.