Fedorov V D, Kubyshkin V A, Korniak B S, Tsvirkun V V, Azimov R Kh
Khirurgiia (Mosk). 1999(8):4-7.
The analysis of our own country and foreign literature, devoted to the problems of clinical aspects, diagnosis and treatment of leiomyomas of the small bowel for the last 48 years has been carried out. The authors present their personal experience in follow-up of 6 cases of the small bowel leiomyomas, the main clinical manifestations of which being recurrent intestinal bleedings and in lesser degree--small bowel obstruction. The results of preoperative examination evidence that besides thorough physical, endoscopical and ultrasound examination the necessity may arise to use for diagnosis angiographic and computed-tomographic methods. The subject of special attention of each clinical physician should be the danger of malignant transformation of benign leiomyomatous neoplasms of the small bowel, which the authors encountered in 2 patients.
对过去48年国内外有关小肠平滑肌瘤临床方面、诊断和治疗问题的文献进行了分析。作者介绍了他们对6例小肠平滑肌瘤随访的个人经验，其主要临床表现为反复肠道出血，程度较轻的为小肠梗阻。术前检查结果表明，除了全面的体格检查、内镜检查和超声检查外，可能还需要使用血管造影和计算机断层扫描方法进行诊断。每位临床医生应特别关注的是小肠良性平滑肌瘤性肿瘤发生恶性转化的风险，作者在2例患者中遇到了这种情况。
