Simeth C, Dellach C, Guarino G, Balani A
Istituto di Clinica Chirurgica Generale e Terapia Chirurgica, Università degli Studi di Trieste.
Ann Ital Chir. 1999 Jan-Feb;70(1):57-60.
Gastric leiomyoblastoma is a rare benign neoplasm, arising from the smooth muscle cell, that may become malignant. The most important symptoms are epigastric pain, sideropenic anaemia and upper GI bleeding, but frequently the diagnostic iter is difficult and definitive diagnosis is made only with histology after laparotomy. A personal case is reported and Literature data are reviewed; stress being laid on the uncertain biological evolution that influence mostly the choice of therapy.
胃平滑肌瘤是一种罕见的良性肿瘤,起源于平滑肌细胞,可能会恶变。最重要的症状是上腹部疼痛、缺铁性贫血和上消化道出血,但诊断过程往往很困难,只有在剖腹手术后通过组织学检查才能做出明确诊断。本文报告了一例个人病例并回顾了文献资料;着重强调了不确定的生物学演变,这对治疗方案的选择影响极大。