Tio T L, Tytgat G N, den Hartog Jager F C
Academic Medical Center, Department of Gastro-Entero-Hepatology, Amsterdam, The Netherlands.
Gastrointest Endosc. 1990 Jul-Aug;36(4):342-50. doi: 10.1016/s0016-5107(90)71061-9.
Before surgery, 12 patients with suspected leiomyoma and 12 patients with suspected leiomyosarcoma were studied by endoscopic ultrasonography (EUS), computed tomography (CT), endoscopy, and barium swallow. The results were correlated with surgery and histology. Ten leiomyomas, one benign gastric ulcer, one carcinoid metastasis, eight leiomyosarcomas, two leiomyoblastomas, one mucus secreting adenocarcinoma, and one bronchial carcinoma were diagnosed. Eighteen additional patients suspected to have benign submucosal lesions by endoscopy and barium meal were treated non-surgically, and studied by EUS and CT. EUS was superior to other imaging techniques in the detection, staging, and follow-up of submucosal smooth muscle tumors because of clear imaging of the intramural abnormality and adjacent lymph nodes.
手术前，对12例疑似平滑肌瘤患者和12例疑似平滑肌肉瘤患者进行了内镜超声检查（EUS）、计算机断层扫描（CT）、内镜检查和吞钡检查。将结果与手术及组织学结果进行关联。诊断出10例平滑肌瘤、1例良性胃溃疡、1例类癌转移、8例平滑肌肉瘤、2例平滑肌瘤病、1例黏液分泌性腺癌和1例支气管癌。另外18例经内镜和钡餐检查疑似患有良性黏膜下病变的患者接受了非手术治疗，并进行了EUS和CT检查。由于能清晰显示壁内异常及相邻淋巴结，EUS在黏膜下平滑肌瘤的检测、分期及随访方面优于其他成像技术。
