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1 一般资料 收集我院1993年～1999年收治的13例消化道平滑肌瘤病例中:男9例,女4例,平均51.8岁,所有病例均接受手术治疗或探是,并经病理确诊,其中平滑肌瘤4例,上皮样平滑肌瘤1例,平滑肌肉瘤8例。 2 临床特点 本病可发生于任何年龄及消化道任何部位。多发部位为胃和小肠,其次是食道和直肠,其它部位少见。由于本病早期可无任何临床症状,偶于手术中或钡餐检查时发现。因此,病人就诊往往较晚。有症状者常常表现为腹痛、消化道出血和腹部包块。三者可单独出现或并存。本组13例中有5例为消化道出血,其中3例腹部可触及包块。内镜拟胃癌,
1 General data collection 13 cases of digestive tract fibroids treated in our hospital from 1993 to 1999: 9 males and 4 females, with an average of 51.8 years old. All cases were treated by surgery or exploration and confirmed by pathology. There were 4 cases of leiomyoma, 1 case of epithelioid leiomyoma, and 8 cases of leiomyosarcoma. 2 clinical features The disease can occur at any age and any part of the digestive tract. The most common sites are the stomach and small intestine, followed by the esophagus and rectum. Other parts are rare. Since this disease can be without any clinical symptoms early, it was found during surgery or barium meal examination. Therefore, patients are often seen later. People with symptoms often have abdominal pain, gastrointestinal bleeding, and abdominal mass. The three can appear alone or co-exist. Of the 13 patients in this group, 5 were gastrointestinal bleeding, and 3 of them had palpable masses on the abdomen. Endoscopic quasi-gastric cancer,