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本文报告我院外科1958年12月至1986年12月,治疗的非上皮性胃恶性肿瘤22例,并分析这类肿瘤的临床特点、诊断与治疗。临床资料22例之病理类型、病例数和平均年龄等见表1。临床症状与特殊检查: 1.上腹痛与不适:有15例,最短40天,最长20年。其中恶性淋巴瘤13例中有10例(76%),平滑肌肉瘤6例中有4例(66%),1例恶性神经鞘瘤有上腹痛史,而平滑肌母细胞瘤仅1例无腹痛史。2.消化道出血:共13例(59%),其中除1例便潜血阳性外,其余均有肉眼黑便或呕血。出血最多的1例为恶性神经鞘瘤,1次呕血2000ml。恶性淋巴瘤中有出血者9例,6例平滑肌肉瘤中有1例出血。3.腹部肿块:共12例(54%)。体检时可扪及的最大肿块为12×9cm,因浸润广泛未能切除。另1例
This article reports 22 cases of non-epithelial malignancies treated in our hospital from December 1958 to December 1986. The clinical features, diagnosis, and treatment of these types of tumors were analyzed. The clinical data of 22 cases of pathological types, the number of cases and the average age are shown in Table 1. Clinical symptoms and special examination: 1. Epigastric pain and discomfort: There are 15 cases, the shortest 40 days, the longest 20 years. Among them, there were 10 cases (76%) of malignant lymphoma, 4 cases (66%) of 6 cases of leiomyosarcoma, 1 case of malignant schwannomas had a history of epigastric pain, and 1 case of smooth muscle cell tumor had no history of abdominal pain. . 2. Gastrointestinal hemorrhage: A total of 13 cases (59%), except one case of occult occult blood positive, the rest have black eyes or hematemesis. One case with the most hemorrhage was malignant schwannoma, and once vomited blood was 2000 ml. There were 9 cases of bleeding in malignant lymphomas and 1 case of bleeding in 6 cases of leiomyosarcoma. 3. Abdominal mass: A total of 12 cases (54%). The largest mass that can be seen during physical examination is 12 × 9cm, but it cannot be removed due to extensive invasion. Another case