期刊文献+

食管平滑肌瘤的外科治疗(附32例报告) 被引量:1

The Surgical Therapy of Oesophageal Leiomyoma(32 cases reports)
下载PDF
导出
摘要 目的:探讨食管平滑肌瘤的诊断、治疗方法及其疗效。方法:分析手术治疗32例食管平滑肌瘤的临床资料。结果:单发型30例,多发型2例。肿瘤位于食管上段2例,中段27例,下段3例。行粘膜外肿瘤摘除术28例次,肿瘤及部分食管切除、食管胃主动脉弓上吻合术2例,弓下吻合术3例,肿瘤恶变后探查1例。手术切口为颈部切口3例次,右开胸20例,左开胸11例。本组病例无围手术期死亡。术后随访3年至10年,除1例肿瘤恶变者在术后5年死亡外,其他病例均生存。结论:手术切除是治疗食管平滑肌瘤唯一有效的方法,多数病例可行粘膜外肿瘤摘除术,少数肿瘤巨大或多发者需行肿瘤及部分食管切除、胃食管吻合术。如术后肿瘤复发需考虑肿瘤恶变。 Objective: To analyze the diagnosis, therapy and curative effect of oesophageal leiomyoma. Methods: The clinical data for 32 cases of oesophageal leiomyoma, treated with surgical therapy, were studied. Results: Thirty cases with solitary tumors and 2 with multiple tumors were found. According to the position, 2 cases were at the upside of oesophagus, 27 at the midpiece and 3 at inferior segment. Extra-mucosal excision were conducted in 28 cases. Esophagogastrostomy at superior aortic arch were conducted in 2 cases and that at inferior aortic arch were done in 3. The exploration after canceration of tumors was performed in 1 case. As for the operative incision, 3 cases or times were at the cervical part, 20 at right opened thorax and 11 at left opened chest. No peri-operative death were reported in the cases of the group. Postoperative follows up had been performed for 3 to 10 years. The results showed that all the patients survived except 1 case of post-treatment death within 5 years. Conclusions: Surgical is the only effective method to cure oesophageal leiomyoma. Extra-mucosal tu- mor extirpation can be performed in most cases, however, excision on tumors or part of esophagus and anastomosis between stomach and oesophagus in a few cases with tremendous or multiple tumors is needed. The canceration of tumors should be first considered in case of postoperative relapse.
出处 《中国肿瘤临床》 CAS CSCD 北大核心 2006年第15期894-896,共3页 Chinese Journal of Clinical Oncology
关键词 食管平滑肌肿瘤 外科治疗 疗效 Oesophagus leiomyoma Surgical therapy Curative effect
  • 相关文献

参考文献12

  • 1王弼 陆国庆 等.食管平滑肌瘤的诊断和治疗[J].中华外科杂志,1982,20(5):301-301.
  • 2Hatch GF 3rd, Wertheimer Hatch L, Hatch KF, et al. Tumors of the esophagus[J]. World J Surg, 2000, 24(4) :401 - 411
  • 3Choong CK, Meyers BF. Benign esophageal tumors: introduction,incidence, classification and clinical features [J]. Seinin Thorac Cardiovasc Surg, 2003, 15(1): 3-8
  • 4Seremetis MG, Lyons WS, deGuzman VC, et al. Leiomyoma of the esophagus. An analysis of 838 cases [J]. Cancer, 1976, 38(5):2166-2177
  • 5Tringali S, Tiffet O, Berger.JL, et al. Bronchical artery aneurysm disguised as a leiomyoma of the esophagus [J]. Ann Thorac Surg,2002, 73(2):632-633
  • 6Rice TW. Benign esophageal tumors: esophagoscopy and endoscopic esophageal ultrasound [J]. Semin Thorac Cardiovasc Surg,2003, 15(1):20-26
  • 7王云喜,孙玉鹗,刘颖,李越,王志强.腔内超声在食管平滑肌瘤诊断及鉴别诊断中的应用[J].中华医学杂志,2002,82(7):456-458. 被引量:32
  • 8侯英勇,王坚,朱雄增,陶琨,陆孝禹,杜祥,孙孟红,郑爱华.食管间质瘤与平滑肌肿瘤对照性研究[J].中华病理学杂志,2002,31(2):116-119. 被引量:44
  • 9Fu KL, Muto M, Mera K, et al. Carcinoma coexisting with esophageal leiomyoma [J]. Gastrointest Endosc, 2002, 56(2):272 -273
  • 10Aurea P, Grazia M, Petrella F, et al. Giant leiomyoma of the esophagus[]]. Eur J Cardiothorac Surg, 2002, 22(6):1008- 1010

二级参考文献7

  • 1Mazur MT, Clark HB. Gastric stromal tumors. Reappraisal of hitogenesis. Am J Surg Pathol, 1983, 7: 507-519.
  • 2Suster S. Gastrointestinal stromal tumors. Semin Diagn Path ol, 1996, 13:297-313.
  • 3Kindblom LG,Remotti HE,Aldenborg F,et al. Gastrointestina l pacemaker cell t umor(GIPACT):gastrointestinal stromal tumors show phenotypic characteristics of the interstitial cells of Cajal. Am J Pathol,1998,152:1259-1269.
  • 4Miettinen M, Sarlomo-Rikala M, Sobin LH, et al. Esophageal stromal tumors: a c linicopathologic, immunohistochemical, and molecular genetic study of 17 cases a nd comparison with esophageal leiomyomas and leiomyosarcomas. Am J Surg Pathol, 2000, 24:211-222.
  • 5Hatch GF 3rd,Wertheimer-Hatch L,Hatch KF, et al. Tumors o f the esophagus. World J Surg,2000,24:401-411.
  • 6Emory TS, Sobin LH, Lukes L,et al. Prognosis of gastrointes tinal smooth-muscl e (stromal) tumors: dependence on anatomic site. Am J Surg Pathol, 1999, 23:82 -87.
  • 7王云喜,孙玉鹗,李越,刘颖.食管腔内超声在食管良恶性肿瘤诊断中的应用[J].中华医学杂志,1999,79(8):585-588. 被引量:4

共引文献86

同被引文献14

引证文献1

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部