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[食管和胃的良性肿瘤]

[Benign tumors of the esophagus and stomach].

作者信息

von Gottberg C, Rössel E, Jenkner J, Höhn D, Gold C

出版信息

Fortschr Med. 1984 Apr 19;102(15):425-9.

PMID:6724475
Abstract

From the tumors of the oesophagus studied, 30% were found to be benign. They occurred in a ratio of 2:1 predominantly in men with an average age of 37,1 years compared to 52,5 years in women. The symptoms were unspecific and the prognosis was quo ad sanationem very good. Only in one case did a neurofibroma relapse explosively with in 4 months and was already inoperable at the time, when the new diagnosis was made. The percent of benign stomach tumors amounted to 2,6%. Tumors of the mucous tissue behaved differently than the neurogenic and mesenchymal ones. The former became noticeable mainly due to epigastric complaints, the latter due to haemorrhages. Epithelial tumors occurred, with a ratio of 2:1, more often in women, but without any difference in age. Mesenchymal and neurogenic tumors occurred in almost the same sex ratio, but at an average age, which was 18 years higher in women. Solitary stomach polypi can mostly be removed endoscopically, whilst all other benign oesophagus and stomach tumors must be removed by operation due to the symptoms and the dignity of the tumor, which is seldom clear.

摘要

在所研究的食管肿瘤中,发现30%为良性。它们的发生比例为2:1,主要见于男性,平均年龄为37.1岁,而女性为52.5岁。症状不具特异性,就治愈而言预后非常好。仅在1例中,神经纤维瘤在4个月内急剧复发,在做出新诊断时已无法手术。良性胃肿瘤的比例为2.6%。黏液组织肿瘤的表现与神经源性和间叶性肿瘤不同。前者主要因上腹部不适而引起注意,后者则因出血引起注意。上皮性肿瘤的发生比例为2:1,在女性中更为常见,但在年龄上无差异。间叶性和神经源性肿瘤的性别比例几乎相同,但女性的平均年龄比男性高18岁。孤立性胃息肉大多可通过内镜切除,而所有其他良性食管和胃肿瘤由于症状以及肿瘤性质(很少明确)必须通过手术切除。

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