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wei chang dao jian zhi liu de lin chuang he bing li fen xi
Author(s): 
Pages: 63-64
Year: Issue:  5
Journal: WORLD HEALTH DIGEST·MEDICAL MONTHLY

Keyword:  胃肠道间质瘤临床病理学;
Abstract: 目的探讨胃肠道间质瘤(GIST)的临床及病理特点.方法收集27例(男性17例,女性10例)GIST的临床资料进行回顾性分析.结果本组发病年龄为37~75岁.平均发病年龄为56岁.发生部位分别为胃18例(占66%)、结肠1例(占3.7%),十二指肠1例(占3.7%)、空回肠7例.27例中均行手术切除,其中20例行根治性切除,7例行局部切除.病理诊断良性5例(占18.5%)、交界性7例(占26.0%)、恶性15例(占55.5%).肿瘤大小2.0~7.1cm的14例,其中恶性11例,<2.0cm的13例,其中恶性4例.结论(1)GIST发病多见于40岁以上,男女发病比例大致相当,GIST症状无特异性.(2)联合应用各种检查手段可提高阳性诊断率.(3)肿瘤能否完全切除、肿瘤大小、核分裂等是影响预后的重要因素.(4)局部完全切除是最有效的治疗手段.
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