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目的:探讨食管胃恶性胃肠道间质瘤的临床和病理特征,并提高对其诊断和治疗水平。方法:对食管胃恶性胃肠道间质瘤1例报告并文献复习。结果:1例食管胃恶性胃肠道间质瘤,术前未获明确诊断,经左胸腹联合切口进行了完整切除,病理检查提示食管胃恶性胃肠道间质瘤。结论:食管胃恶性胃肠道间质瘤属于少见消化道恶性肿瘤,由于现有诊断技术在术前很难明确,而主要依靠术后切片及免疫组化,治疗以手术为主,术后复发及转移发生率较高。
Objective: To investigate the clinical and pathological features of esophagogastric gastrointestinal stromal tumors and to improve its diagnosis and treatment. Methods: One case of esophagogastric gastrointestinal stromal tumors and literature review. Results: One case of esophageal and gastric malignant gastrointestinal stromal tumor was not diagnosed preoperatively, and the complete resection was done through the left thoracoabdominal incision. The pathological examination showed that the malignant gastrointestinal stromal tumor was esophageal and gastric. Conclusion: Esophageal and gastric malignant gastrointestinal stromal tumors (GISTs) are rare malignant tumors of the digestive tract. Due to the difficulty of preoperative diagnosis of the existing gastrointestinal stromal tumors, it is difficult to confirm the diagnosis, but mainly depends on the postoperative slices and immunohistochemistry. The main surgical treatment and postoperative recurrence And the transfer rate is higher.