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find Keyword "胃神经鞘瘤" 2 results
  • The current research status of gastric schwannoma

    Objective To summarize the research progress of gastric schwannoma (GS). Methods GS related researches and case reports were collected to make a review on general clinical manifestations, pathology characteristics, auxiliary examinations, differential diagnosis, and treatment. Results GS is rare in clinical reports, and it is lack of tissue specificity. Diagnosis is rely mainly on the expressions of S-100 protein and glial fibrillary acidic protein (GFAP). All kinds of auxiliary examinations, such as gastrointestinal angiography, ultrasound, endoscope, CT, an so on, could not independently as a diagnostic basis. Identification between GS and other gastric tumors is difficult, and GS is not sensitive to radiation and chemotherapy, the main treatment is surgery. Conclusions GS is a kind of rare tumor which occurs in gastric mucosa, immunohistochemistry is the most main examination for the diagnosis of GS. The surgical excision is the main treatment for GS, but the safety and efficacy of combination therapy of laparoscopy and endoscopy remains to be study.

    Release date:2017-12-15 06:04 Export PDF Favorites Scan
  • 8 例胃神经鞘瘤的临床诊治分析

    目的分析胃神经鞘瘤(gastric schwannoma,GS)的临床及病理特征并总结其诊断和治疗方法。方法回顾性分析哈尔滨医科大学附属第四医院普外科于 2013–2017 年期间收治的 8 例 GS 患者的临床病例资料,包括一般资料、临床表现、诊断方法、治疗手段等。结果8 例患者均进行手术治疗,其中 4 例行腹腔镜胃肿瘤切除,3 例行开腹胃肿物切除,1 例采用腹腔镜、胃镜双镜联合胃肿物切除。对患者术后随访 2~50 个月,8 例患者均未复发。GS 镜下的梭形细胞和“淋巴细胞套”是其最显著特点。免疫组织化学染色 S-100 呈弥漫性阳性。结论GS 是一种发生于胃黏膜下的肿瘤,多为良性,其临床表现不典型,主要可表现为腹痛和腹胀,胃镜和 CT 检查难以确诊该病,免疫组织化学检查结果是目前诊断该病的金标准,手术切除是有效的治疗方法。

    Release date:2019-05-08 05:34 Export PDF Favorites Scan
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