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目的探讨小肠间质瘤的特点、诊断和治疗方法。方法回顾分析1998-10-2009-10收治小肠间质瘤17例。结果病理诊断良性12例,恶性及低度恶性5例。2例局部复发多次手术后腹腔广泛转移死亡;1例肝转移,再手术后至今未复发;其余生存良好。结论小肠间质瘤是一类具有恶性倾向的肿瘤,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。
Objective To investigate the characteristics, diagnosis and treatment of intestinal stromal tumors. Methods Retrospective analysis of 17 cases of intestinal stromal tumors admitted from 1998-10-2009-10. Results Pathological diagnosis of benign in 12 cases, 5 cases of malignant and low grade. Two cases of local recurrence after multiple surgeries, extensive peritoneal metastasis death; 1 case of liver metastasis, and then no recurrence after surgery; the remaining good. Conclusions Small intestinal stromal tumor is a kind of malignant tumor. The diagnosis is based on the history, clinical manifestations, combined with auxiliary examination, tumor size, histological morphology and immunohistochemical analysis. Local treatment of the main cut.