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Virginia医学院自1951年至1984年治疗了51例原发性胃肠道肉瘤.患者平均年龄为53岁,男女之比为1.8∶1.临床表现:62%的病人有腹痛;40%病人有胃肠道出血;体重明显下降者占36%,28%的病人有食欲减退,恶心或呕吐症状.症状持续时间平均4.4月(自不足1月至24月).体检中38%的病人可以扪及腹部包块.肿瘤的平均直径11cm(1.5～23cm).其分布为:胃占51%;小肠27%;结肠直肠16%;还有3例(6%)位于食管.组织病理学:所有的胃肠道肉瘤实际上都是平滑肌肉瘤,只有1例阑尾根部恶性纤维组织细胞瘤和1例乙状结肠血管外皮细胞瘤.根据肿瘤的分级可将其
Virginia School of Medicine has treated 51 cases of primary gastrointestinal sarcoma from 1951 to 1984. The average age of the patients is 53 years, and the ratio between men and women is 1.8:1. Clinical manifestations: 62% of patients have abdominal pain; 40% of patients have Gastrointestinal hemorrhage; Obvious weight loss accounted for 36%, 28% of patients had loss of appetite, nausea or vomiting symptoms. Symptoms lasted an average of 4.4 months (from less than January to 24 months). 38% of patients on physical examination can And abdominal mass. The average diameter of the tumor was 11cm (1.5~23cm). Its distribution was: stomach 51%; small intestine 27%; colorectal 16%; and 3 cases (6%) in the esophagus. Histopathology: all Gastrointestinal sarcoma is actually a leiomyosarcoma, only 1 case of malignant fibrous histiocytoma in the appendix and 1 case of sigmoid colonic hemangiopericytoma. According to the grade of the tumor can be