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目的:探讨胃肠道间质瘤的诊断和治疗。方法:收集经手术病理证实的31例胃非上皮肿瘤,全部经CD117、CD34检测。其中18例行近侧胃切除,4例行全胃切除,9例行胃远侧切除,切除范围在5cm以上。并对其中27例随访。结果:31例100%胃非上皮肿瘤CD+117、25例81%CD+34,其中良性12例、恶性19例。随访27例(良性11例、恶性16例),良性中6例随访6a~10a未复发,5例2a~5a无复发,恶性16例,5a生存率47%。结论:胃的非上皮肿瘤应统称为胃肠道间质瘤,手术切除仍是其主要的治疗方法。
Objective: To investigate the diagnosis and treatment of gastrointestinal stromal tumors. Methods: Twenty-one cases of gastric non-epithelial tumors confirmed by surgery and pathology were collected, all of which were detected by CD117 and CD34. Among them, 18 cases were treated with proximal gastrectomy, 4 cases with total gastrectomy, and 9 cases with distal gastric resection. The resection range was above 5 cm. 27 of them were followed up. Results: 31 cases of 100% gastric non-epithelial tumor CD 117, 25 81% CD 34, of which 12 were benign and 19 were malignant. Follow-up was performed in 27 cases (11 cases of benign and 16 cases of malignant), and 6 cases of benign were followed up for 6-10 years without recurrence. Five cases had no relapse between 2a and 5a, 16 cases were malignant and the survival rate of 5a was 47%. Conclusion: Gastric non-epithelial tumors should be collectively referred to as gastrointestinal stromal tumors. Surgical resection is still the main treatment.