Loze S, Bercovici D, Masson B
Service de Chirurgie Digestive et Endocrinienne, CHR de Bordeaux.
J Chir (Paris). 1994 Nov;131(11):496-500.
Ten cases of digestive tract muscle tumours emphasized the difficulty in preoperative diagnosis. CT scan gave the best results by visualizing the tumour in all the cases but one. In this case jejunal localization of a small tumour was made by arteriography. In gastric and duodenal localizations, the endoscopic aspect was not particularly specific and too superficial biopsies were always negative. The prognosis depends on pathology results but the distinction between malignancy and benign tumours is not always easy to make. The course of the disease is often needed to correct an erroneous initial diagnosis of benign tumour underscoring the need for careful follow-up.
10例消化道肌肉肿瘤凸显了术前诊断的困难。CT扫描在除1例之外的所有病例中都能清晰显示肿瘤，效果最佳。在这例中，通过动脉造影确定了空肠小肿瘤的位置。在胃和十二指肠肿瘤定位中，内镜表现并非特别具有特异性，且过浅的活检结果往往为阴性。预后取决于病理结果，但区分恶性和良性肿瘤并不总是容易的。疾病的病程往往需要纠正最初对良性肿瘤的错误诊断，这突出了仔细随访的必要性。
