摘要
了解小儿胃肿瘤的特征,如临床表现、诊断步骤及治疗措施。按TNM分组,对我院1970年以来治疗小儿胃肿瘤8例进行分析。结果:胃畸胎瘤、胃息肉及胃腺癌各2例,胃弥漫型非霍奇金淋巴瘤及胃平滑肌肉瘤各1例。将以上病变的临床特点、诊断方法、病理检查及治疗方案进行讨论。结论:对临床上有腹痛、黑粪、呕血或腹块等的病孩应进行检查,以排除胃肿瘤。治疗以手术为主。术后病理为恶性肿瘤的患儿,既使无淋巴结转移也应常规化疗。
PURPOSE To find out the characteristics──the clinical features,diagnostic measures and treatments of gastric tumors in children.METHODS 8 Gastric tumors have been treated since 1970.Half of them were malignant.They were classified in groups according to TNM.RESULTS They were teratoma(n=2),polys with Peutz─Jeghers syndrome(n=2),adenocarcinoma(n=2),non─Hodgkin lymphoma(n=1)and liomyosarcoma(n=1).All were followed by surgical proceduses.CONCLUSIONS If the child has these features,such as epigastric pain,gastrointestinal hemorrhage and abdominal mass,he should be investigated to exclude the tumors.Gastroduodenoscopy was useful in evaluating patients with these clinical features. Surgical resection was the first choice.If the tumor was malignant, chemotherapy should be followed.
出处
《上海医科大学学报》
CSCD
1996年第1期25-26,共2页
Journal of Fudan University(Medical Science)
关键词
畸胎瘤
腺癌
胃肿瘤
儿童
teratoma
Peutz-Jeghers syndrome
adenocarcinoma
non─Hodgkin lymphoma
liomyosarcoma