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胃平滑肌肿瘤发病率较低,临床表现不一,术前难于确诊。本文分析了天津人民医院自1953年至1977年间收治的23例此种肿瘤病例,占同期全部胃肿瘤的1%,其中可供分析者19例,良性胃平滑肌瘤12例,平滑肌肉瘤7例。19例中除1例外都行手术切除。文章就此类肿瘤的临床表现、体征、X 线表现、肿瘤与胃壁的关系以及预后进行分析比较。良性胃平滑肌瘤切除后预后良好,12例中11健在,其中1例已生存20年。而胃平滑肌肉瘤手术预后不良,7例皆死亡,仅1例术后生存4年以上。文章还就此种肿瘤的病理诊断标准进行讨论。
The incidence of gastric smooth muscle tumors is low, clinical manifestations are different, it is difficult to diagnose before surgery. This article analyzed 23 cases of such tumors in Tianjin People’s Hospital from 1953 to 1977, which accounted for 1% of all gastric tumors in the same period, of which 19 were available for analysis, 12 were benign gastric leiomyomas, and 7 were leiomyosarcoma. . All except 19 cases underwent surgical resection. The article analyzes and compares the clinical manifestations, physical signs, X-ray findings, the relationship between the tumor and the stomach wall, and the prognosis of such tumors. The prognosis was good after benign gastric leiomyoma resection, 11 of 12 cases were alive, and 1 case had survived for 20 years. The prognosis of gastric leiomyosarcoma surgery was poor, 7 patients died, and only 1 patient survived for more than 4 years. The article also discusses the criteria for the pathological diagnosis of this type of tumor.