中国实用外科杂志

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小胃肠间质瘤生物学行为特征与对策

戴冬秋张春东   

  1. 中国医科大学附属第四医院胃肠外科,辽宁沈阳 110032
  • 出版日期:2015-04-01 发布日期:2015-03-31

  • Online:2015-04-01 Published:2015-03-31

摘要:

近年来,小胃肠间质瘤 (GIST) 检出率呈逐年增高趋势。对于小GIST病人,目前国内外尚缺乏统一的诊疗共识及指南。对于直径<2 cm的小GIST,应根据临床表现及生物学行为,并结合肿瘤恶性危险度及病人个体化差异,在确保治疗的安全性及根治性基础上,选择随访观察、内镜治疗或外科治疗。

关键词: 小胃肠间质瘤, 临床病理, 生物学行为

Abstract:

Characteristics of biological behavior and strategies for small gastrointestinal stromal tumor        DAI Dong-qiu, ZHANG Chun-dong. Department of Gastrointestinal Surgery, the Fourth Affiliated Hospital, China Medical University, Shenyang 110032, China
Corresponding author: DAI Dong-qiu, E-mail: daidq63@163.com
Abstract    In recent years, the detection rate of small gastrointestinal stromal tumor (GIST) is increasing. There is still lack of guidelines and consensus for the management of patients with small GIST at home and abroad. For the small GIST with diameter less than 2 cm, surgeons should make clinical strategies including follow-up, therapeutic endoscopy or surgical therapy based on clinical manifestation and biological behavior combined with malignancy risk level and individual differences to guarantee safety and radical therapy.

Key words: small gastrointestinal stromal tumor, clinical pathology, biological behavior