Acea Nebril B, Sánchez González F, Arnal Monreal F, Gómez Freijoso C
Servicio de Cirugía General A, Hospital Juan Canalejo, La Coruña.
Rev Esp Enferm Dig. 1995 Feb;87(2):115-20.
Leiomyosarcomas of the stomach are uncommon tumors and because their rarity there is a lack of understanding of the best approach to their surgical treatment. This is a retrospective review of eleven patients surgically treated with a non-radical method. The median age was 70 years (range, 44 to 83 years) and the most common initial symptoms were abdominal pain (36%), abdominal mass (27%) and weight loss (18%). The most common site of tumor involvement was the middle stomach (63%) and posterior wall (36%) with a median size of 18 cm (range, 8 to 30 cm). Operations included wedge resection of the stomach (55%), subtotal gastrectomy (36%) and biopsy (9%). Neither lymphadenectomy nor extended gastrectomy with en bloc excision were carried out. Follow-up was complete in all patients and the median duration of follow-up was 41 months (range, 8 to 72 months). The overall 5-years survival was 72% and only two patients died because of their tumor. Our results suggest that non-radical surgery in gastric leiomyosarcoma is an appropriate method in the surgical management of these patients.
胃平滑肌肉瘤是罕见肿瘤，由于其罕见性，人们对其最佳手术治疗方法缺乏了解。这是一项对11例采用非根治性方法进行手术治疗患者的回顾性研究。中位年龄为70岁（范围44至83岁），最常见的初始症状为腹痛（36%）、腹部肿块（27%）和体重减轻（18%）。肿瘤最常累及的部位是胃中部（63%）和后壁（36%），中位大小为18 cm（范围8至30 cm）。手术方式包括胃楔形切除术（55%）、胃次全切除术（36%）和活检（9%）。未进行淋巴结清扫或扩大胃切除术加整块切除。所有患者均完成随访，中位随访时间为41个月（范围8至72个月）。总体5年生存率为72%，仅2例患者死于肿瘤。我们的结果表明，胃平滑肌肉瘤的非根治性手术是这些患者手术治疗的一种合适方法。
