Serraf A, Klein E, Schneebaum S, Davidson B, Herzig E, Ben-Ari G
Department of General and Surgical Oncology, Chaim Sheba Medical Center, Tel Hashomer, Israel.
J Surg Oncol. 1988 Nov;39(3):183-6. doi: 10.1002/jso.2930390310.
Leiomyoma is a neoplasm of smooth muscle relatively common in the stomach, but very rare in the duodenal location. Symptoms are gastrointestinal bleeding or abdominal pain resembling peptic disease. Three cases of duodenal leiomyomas are described, and the importance of endoscopy is emphasized as a diagnostic tool. Surgical resection of the tumor is the recommended therapeutic procedure, and the difficulty in deciding at the pathological examination whether the leiomyoma is benign or malignant demands prompt follow-up of patients after surgery.
平滑肌瘤是一种平滑肌肿瘤，在胃中相对常见，但在十二指肠部位非常罕见。症状为胃肠道出血或类似消化性疾病的腹痛。本文描述了3例十二指肠平滑肌瘤病例，并强调了内镜检查作为诊断工具的重要性。推荐的治疗方法是手术切除肿瘤，而在病理检查中难以确定平滑肌瘤是良性还是恶性，这就要求对术后患者进行及时随访。
