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报告七例胃上皮样平滑肌瘤。男女之比为6∶1。年龄14～60岁,平均45.9岁。临床表现为上腹部疼痛、上消化道出血、食欲减退、腹部肿块、体重减轻及贫血。术前分别误诊为胰腺囊肿、溃疡病、胃癌及胃扭转。病理学检查:肿瘤表面有多个灰白色结节、出血、坏死、囊性变及积液或积血,同时合并胃溃疡。本组瘤体均较大,最大者为33cm×28cm×11cm,重量达4230g。本病为低度恶性肿瘤。术式以胃大部或次全胃连同肿瘤切除为宜。复发者可再次手术。
Seven cases of gastric epithelioid leiomyoma were reported. The ratio between men and women is 6:1. Age 14 to 60 years old, average 45.9 years old. The clinical manifestations were upper abdominal pain, upper gastrointestinal bleeding, loss of appetite, abdominal mass, weight loss, and anemia. Preoperatively misdiagnosed as pancreatic cyst, ulcer disease, gastric cancer and gastric torsion. Pathological examination: There were several gray-white nodules on the tumor surface, hemorrhage, necrosis, cystic degeneration and effusion or hemorrhage, combined with gastric ulcer. The tumors in this group were larger, with the largest being 33cm x 28cm x 11cm and a weight of 4230g. The disease is a low-grade cancer. It is advisable to use a large or subtotal gastrectomy together with a tumor resection. Relapsed patients can be operated again.