Forlini A, Ranucci A, Russo F, Gentileschi P, Germani P P, Paganelli C
Cattedra di Semeiotica Chirurgica, II Università degli Studi Tor Vergata, Roma.
G Chir. 1992 Oct;13(10):473-8.
Three consecutive malignant smooth-muscle gastric tumor cases are reported. Digestive endoscopy allowed a correct diagnosis in 2 out of 3 cases, when neoplasias were ulcerated, enabling a deep endoscopic biopsy. On the contrary, in the third case the endoscopic diagnosis was a benign leiomyoma and the endoscopic biopsies were completely negative. Even CT scan was not able to reveal the malignant nature of the disease in this patient. Surgical procedures performed were: polar superior gastric resection, Billroth I partial gastric resection and extended total gastrectomy. In one patient, regional lymph nodes were positive for metastases. The patient who died at 6 months from surgery had a large (approximately 12 cm) neoplasia of the gastric fundus.
报告了3例连续的胃恶性平滑肌肿瘤病例。在3例病例中有2例通过消化内镜检查做出了正确诊断，此时肿瘤形成溃疡，可行深度内镜活检。相反，在第3例中，内镜诊断为良性平滑肌瘤，内镜活检结果完全为阴性。即使是CT扫描也未能揭示该患者疾病的恶性本质。所施行的手术方式有：胃上部极切除术、毕罗一式部分胃切除术和扩大全胃切除术。1例患者区域淋巴结有转移。术后6个月死亡的患者胃底有一个大的（约12厘米）肿瘤。
