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小肠平滑肌肉瘤是临床罕见之恶性肿瘤,早期无明显症状,临床诊断较困难,确诊时每已较晚,预后较差。作者回顾性总结了本院25年问收治的18例小肠平滑肌肉瘤的临床表现、诊断、手术方法及预后。作者认为:若临床医生能熟悉该病的病理、临床表现及相应的辅助检杏,则早期诊断是不困难的。根除性切除为最佳的治疗方法。肿瘤<5cm,或≥5cm 而无转移,腔内型生长,位于十二指肠及空肠者,细胞有丝分裂<10/50HPF,及作了根除性切除者,有较好的预后。
Intestinal leiomyosarcoma is a clinically rare malignant tumor. There are no obvious symptoms in the early stage and clinical diagnosis is difficult. Every time after diagnosis, the prognosis is poor. The author retrospectively summarized the clinical manifestations, diagnosis, surgical methods and prognosis of 18 cases of intestinal leiomyosarcoma treated in our hospital for 25 years. The authors believe that early diagnosis is not difficult if the clinician is familiar with the pathology, clinical manifestations of the disease, and the corresponding auxiliary apricot examination. Radical resection is the best treatment. Tumor <5cm, or ≥ 5cm without metastasis, intraluminal growth, located in the duodenum and jejunum, cell mitosis <10/50HPF, and eradication of those who have a better prognosis.