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目的探讨分析胃肠间质瘤患者的临床、病理特征。方法回顾性分析天津市东丽医院2003年7月-2015年5月收治的GIST患者的临床及病理特征。结果共收集21例GIST患者,其中男性11例,女性10例,多见于50~70岁年龄段;肿瘤原发部位最常见于胃11例,其次为小肠5例、十二指肠2例、结直肠3例。R0切除20例,R2姑息切除1例。复发风险极低度5例,低度6例,中度2例,高度8例。不同部位GIST手术方式不同。结论 GIST多见于中老年人,临床症状以腹部不适及消化道出血多见,原发部位多见于胃及小肠。
Objective To investigate the clinical and pathological features of gastrointestinal stromal tumors. Methods The clinical and pathological features of patients with GIST in Tianjin Toray Hospital from July 2003 to May 2015 were retrospectively analyzed. Results A total of 21 GIST patients were collected, including 11 males and 10 females, most commonly seen in the age range of 50-70 years. The primary tumor was found in 11 cases of the stomach, followed by 5 cases of small intestine, 2 cases of duodenum, 3 cases of colorectum. R0 resection in 20 cases, R2 palliative resection in 1 case. Five patients had a very low risk of recurrence, 6 patients had a low risk, 2 had a moderate risk, and 8 had a high risk of recurrence. Different parts of GIST different surgical methods. Conclusion GIST is more common in the elderly, clinical symptoms of abdominal discomfort and gastrointestinal bleeding more common, the primary site more common in the stomach and small intestine.