胃平滑肌肉瘤较少见,现将我科1989年收治2例,结合临床与病理分析报告如下: 临床资料 [例1]患者男性,55岁。进食哽咽伴上腹部疼痛1个月,于1989年4月8日入院。查体及化验室检查无异常发现。上消化道造影见食管下段钡剂通过受阻,贲门胃底部见7×5×5厘米大范围粘膜充盈缺损。诊断为食管下段贲门癌。行左侧开胸探查,术中见贲门胃底部8×6×6厘米大肿物,行肿瘤切除,食管胃弓下吻合术。病理报告为贲门部粘膜下平滑肌肉瘤,肿瘤浸及深肌层,淋巴结未见转移。 [例2]患者男性,63岁。间歇黑便1周伴呕血1次于1989年5月22日入院。1周来每日黑便2～3次,头昏乏力,食欲减退。查体呈贫血貌,上腹 Gastric leiomyosarcoma is rare. Now we have 2 cases in our department in 1989, combined with clinical and pathological analysis as follows: Clinical data [Example 1] The patient was male, 55 years old. He had a sore throat with upper abdominal pain for one month and was admitted to hospital on April 8, 1989. No abnormal findings were found in physical examinations and laboratory examinations. In the upper gastrointestinal tract imaging, the esophageal inferior block was blocked, and the mucosal filling defect was observed in the large intestine stomach at a size of 7×5×5 cm. Diagnosis of lower esophageal cardiac cancer. The left side of the chest open exploration, surgery see the stomach at the bottom of the stomach 8 × 6 × 6 cm large tumor, line tumor resection, esophagogastric bow anastomosis. The pathology report was a submucosal leiomyosarcoma of the cardia, a tumor immersed in the deep muscle layer, and no lymph node metastases. [Example 2] Patient Male, 63 years old. Intermittent black stool 1 week with vomiting blood was admitted to hospital on May 22, 1989. In the past 1 week, black stools have been used 2 or 3 times a day, causing dizziness, fatigue and loss of appetite. Examination showed anemia appearance, upper abdomen