Abstract:Objective:To investigate clinical characteristics, treatment methods of gastrointestinal stromal tumors (GIST) to improve the diagnosis and treatment. Methods:The clinical date and follow-up of 17 patients with GIST from January 2007 to 2012 October were analyzed retrospectively.Results:The clinical manifestations of GSIT were nonspecific. Locations of the tumor included stomach(n=9),small intestine(n=6,including 1 case with liver metastasis),rectal(n=1)and the root of left mesocolon(n=1). CT examination showed irregular soft tissue mass, and most of them had complete boundary. The immunohistochemical expression of CD117-positive in 16 patients (94.1%), CD34-positive in 15 cases (88.2%). 2 cases of gastric GIST patients died of distant metastasis 1 year after surgery, and the remaining patients had not yet found clear signs of distant metastasis and recurrence.Conclusions:For patients with suspected GIST, many methods can be used to confirm the diagnosis, such as endoscopic ultrasound, B ultrasound, CT etc. For diagnosed patients should be given appropriate surgery based on tumor location and size to reduce the recurrence and metastasis, and improve patient survival.
杜华劲,张月君. 胃肠道间质瘤17例临床诊治分析[J]. 中华解剖与临床杂志, 2013, 18(5): 426-427.
DU Hua-jin,ZHANG Yue-jun. Clinical Analysis of 17 Cases with Gastrointestinal Stromal Tumor. Chinese Journal of Anatomy and Clinics, 2013, 18(5): 426-427.