胃肠道间质瘤原发灶大小与预后的关系(附35例报告)Prognostic significance of primary tumor size in gastrointestinal stromal tumor: report of 35 cases
王海江,陈丙学,陈鹏
摘要(Abstract)：
目的:探讨胃肠道间质瘤(GIST)原发灶大小与预后的关系。方法:对35例GIST临床资料进行回顾性分析。35例行完全手术切除,分析术后1、3、5年的生存率及肿瘤直径<5~10cm和以肿瘤直径5cm、10cm为界的GIST患者的5年生存率。结果:术后复发转移8例,均死亡。术后1、3、5年生存率分别为97.12%、77.60%、67.26%。肿瘤直径<5cm、5~10cm与≥10cmGIST患者5年生存率分别为93.80%、84.40%和28.00%(P<0.05),肿瘤直径<5cm与≥5cmGIST患者5年生存率分别为93.80%、54.31%(P<0.05),肿瘤直径<10cm与≥10cmGIST患者5年生存率分别为87.70%、28.00%(P<0.05)。结论:GIST完全切除后,肿瘤原发灶大小是影响预后的独立高危因素,肿瘤直径≥5cm的患者术后应加强随诊。
关键词(KeyWords)： 胃肠道;间质瘤;原发灶;预后
基金项目(Foundation):
作者(Author): 王海江,陈丙学,陈鹏
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