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胃肠道间质瘤的临床病理特征与外科治疗
引用本文:迟达超,王建华,吴涛,闫立昆,龙延滨,陈熹.胃肠道间质瘤的临床病理特征与外科治疗[J].陕西肿瘤医学,2009,17(9):1729-1731.
作者姓名:迟达超  王建华  吴涛  闫立昆  龙延滨  陈熹
作者单位:[1]陕西省人民医院普外科,陕西西安710068 [2]西安交通大学医学院第二附属医院普通外科,陕西西安710004
摘    要:目的:探讨胃肠道间质瘤(GIST)的临床表现、病理学特征及治疗方法。方法:回顾分析2002年3月至2007年3月间62例经手术病理证实的GIST资料。结果:GIST主要发生在胃(46.8%)和小肠(30.6%)。CD117阳性表达率为93.5%,CD34阳性表达率为79.0%。结论:GIST临床表现缺乏特异性,术前诊断较难;病理免疫组化CD117、CD34等标记阳性是确诊GIST的依据;手术切除仍是目前主要的治疗手段。

关 键 词:胃肠道间质瘤  病理  免疫组织化学  诊断  治疗

The clinicopathologic characteristics and surgical treatment of gastrointestinal stromal tumors (GIST)
CHI Da - chao,WANG Jian - hua,WU Tao,YAN Li - kun,LONG Yan - bin,CHEN Xi.The clinicopathologic characteristics and surgical treatment of gastrointestinal stromal tumors (GIST)[J].Shaanxi Oncology Medicine,2009,17(9):1729-1731.
Authors:CHI Da - chao  WANG Jian - hua  WU Tao  YAN Li - kun  LONG Yan - bin  CHEN Xi
Affiliation:1 Department of General Surgery, Shaanxi Province People 's Hospital, Xi'an 710068, China; 2 Department of General Surgery, Second Affiliated Hospital, Medical School, Xi'an Jiaotong University,Xi'an 710004, China. )
Abstract:Objective:To investigate the clinical manifestation,pathologic characteristics and treatment of gastrointestinal stromal tumors(GIST). Methods: The clinical and pathological data of 62 cases with GIST from March 2002 to March 2007 were retrospectively analyzed. Results: The tumors were commonly located in stomach and small intestine. Positive rates of CD117 and CD34 were 93.5% and 79.0%. Conclusion: The clinical manifestations of GIST are nonspecific. The diagnosis of GIST is difficult in the early stage. CD117 and CD34 are important markers in the diagnosis of GIST. The most effective therapy is operation removal.
Keywords:gastrointestinal stromal tumors  pathology  immunohistochemistry  diagnosis  therapy
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