He L J, Wang B S, Chen C C
Department of Surgery, Zhongshan Hospital, Shanghai Medical University, People's Republic of China.
Br J Surg. 1988 Feb;75(2):184-6. doi: 10.1002/bjs.1800750233.
Of 160 patients seen in the period 1951-84 with smooth muscle tumours of the digestive tract, 71 proved to have leiomyomas, 87 had leiomyosarcomas and 2 had leiomyoblastomas. Tumour diameter was frequently greater in patients with leiomyosarcoma. The surgical mortality was 2.8 per cent after treatment of leiomyoma and 10.3 per cent after treatment of leiomyosarcoma. After resection of leiomyosarcoma the 2-year survival rate was 86 per cent and the 5-year survival rate was 43 per cent. The only hope of cure of these malignant lesions lies in surgical resection but, even when the lesion is incurable, resection may allow worthwhile palliation.
在1951年至1984年间诊治的160例消化道平滑肌肿瘤患者中，71例确诊为平滑肌瘤，87例为平滑肌肉瘤，2例为平滑肌瘤母细胞瘤。平滑肌肉瘤患者的肿瘤直径通常更大。平滑肌瘤治疗后的手术死亡率为2.8%，平滑肌肉瘤治疗后的手术死亡率为10.3%。平滑肌肉瘤切除术后的2年生存率为86%，5年生存率为43%。治愈这些恶性病变的唯一希望在于手术切除，但即使病变无法治愈，切除也可能带来有价值的缓解。
