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1983年以来,我院共收治胃肠道平滑肌肿瘤25例。现报告如下。 临床资料:本组男16例,女9例。年龄21～70岁。其中平滑肌瘤11例(胃4例,十二指肠2例,小肠5例),平滑肌肉瘤14例(胃7例,十二指肠3例,小肠3例,大肠1例)。 手术方法:25例平滑肌肿瘤中,除1例胃平滑肌肉瘤和1例十二指肠平滑肌肉瘤因肿瘤巨大侵犯周围重要脏器无法手术切除而行活检手术外,其余恶性肿瘤均行根治性手术切除,良性肿瘤行局部切除。 结果:本组病例术后随访5年,11例平滑肌瘤无复发,无转移。14例平滑肌肉瘤中13例复发,1例局部复发;3例发生远处转移;12例术后1～3年死亡,1例生存4年余,1例生存5年后失访。 讨论:消化道平滑肌肿瘤的临床表现不一,多数症状无特异性。平滑肌肉瘤除了发展快、容易复发和转移外,很难和平
Since 1983, our hospital received a total of 25 cases of gastrointestinal smooth muscle tumors. The report is as follows. Clinical data: The group of 16 males and 9 females. Age 21 to 70 years old. Including leiomyoma in 11 cases (4 cases of stomach, duodenum in 2 cases, 5 cases of small intestine), 14 cases of leiomyosarcoma (7 cases of stomach, 3 cases of duodenum, 3 cases of small intestine and 1 case of large intestine). Surgical methods: 25 cases of smooth muscle tumors, in addition to a case of gastric leiomyosarcoma and a case of duodenal leiomyosarcoma due to a huge invasion of the surrounding organs can not be removed and biopsy surgery, the remaining malignant tumors were undergone radical resection , Benign tumor line excision. Results: The patients were followed up for 5 years, 11 cases of leiomyoma without recurrence, no metastasis. Of the 14 cases of leiomyosarcoma, 13 cases relapsed, 1 case had local recurrence, 3 cases had distant metastasis, 12 cases died 1 ~ 3 years after operation, 1 case survived more than 4 years and 1 case survived 5 years later. Discussion: Gastrointestinal smooth muscle tumors of different clinical manifestations, most of the symptoms without specificity. In addition to the rapid development of leiomyosarcoma, relapse and transfer easily, it is difficult to peace