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Clinical analysis of 8 cases of duodenal gastrointestinal st

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  本文关键词:《2009年NCCN肿瘤学临床实践指南》关于胃肠间质瘤内容解读,由笔耕文化传播整理发布。


《China Journal of Modern Medicine》 2014-01

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Clinical analysis of 8 cases of duodenal gastrointestinal stromal tumor

WANG Hong-hua;JIANG Hai-bo;Xiangshui People's Hospital;  

【Objective】To analyze the features of clinical diagnosis and treatment of duodenal gastrointestinal stromal tumors. 【Methods】Clinical and pathological data of 8 cases of duodenal gastrointestinal stromal tumors admitted between 2001.01.01 and 2011.12.31 in our hospital were analyzed retrospectively. 【Results】The clinical manifestations were nonspecific, with melena, abdominal discomfort, belching, acid reflux, jaundice, anemia and some other non-specific symptoms. The leaions weremainly located in the descending duodenum and the transverse portion. Pancreaticoduodenectomy was done in two cases, segmental resection was done in three cases, local resection was done in two cases, distal subtotal gastrectomy was done in one case. Following resection, one case recurred of liver and peritoneal metastasis sixteen months postoperative, died within one year without using imatinib. One case died of liver metastasis five years postoperatively with using imatinib intermittent. One case failed to follow up. The rest had no recurrence and metastasis. 【Conclusion】Completed surgical resection is the first choice in the treatment of duodenal gastrointestinal stromal tumors. Various surgical procedures for duodenal gastrointestinal stromal tumors are adopted depending on the size and location of the tumor. Some patients can be resected completely by partial resection. High-risk patients can also have good results using imatinib after operation.

【Key Words】:
【CateGory Index】: R735.31

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  本文关键词:《2009年NCCN肿瘤学临床实践指南》关于胃肠间质瘤内容解读,,由笔耕文化传播整理发布。



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