摘要
Abstract
Objective To analyze the location,endoscopic features,pathological diagnosis and treatment mode of the submucosal tumor(SMT) in upper gastrointestinal tract to improve the level of the recognition,diagnosis and treatment on upper gastrointestinal tract SMT. Methods The age,gender,lesion location,size,pathological diagnosis results,endoscopic manifesta-tion features and treatment mode in 189 histopathological examinations samples of the upper gastrointestinal tract SMT collected in the pathological department of our hospital from September 2013 to July 2015 were performed the comprehensive analysis. Re-sults Among 189 cases,68 lesions were in the esophagus,46 lesions in the gastric fundus,47 lesions in the gastric body,24 le-sions in the gastric sinus and 4 lesions in the duodenum. There were significant differences in the constituent ratio of pathological diagnosis and age of different locations of SMT(P<0.05),there was no significant difference in the gender of the patients(P>0.05). The SMT diameter in the esophagus was smaller than that in other parts,the difference was statistically significant(P<0.05). The gastrointestinal stromal tumor(GIST) was most common[60.3%(114/189)] in upper gastrointestinal tract SMT,and the stromal tu-mor size in different locations was different with statistical difference (P<0.05),there was no significant difference in the gender (P>0.05). The risk degrees of GIST were divided into 4 degrees,the risk stratification was positively correlated with the tumor size (r=0.631,P<0.01),and had no relationship with gender and age(r=0.174,P>0.05). Conclusion The constituent ratio of patho-logical diagnosis and age,and SMT size in different locations are different,in which GIST is the most common pathological lesion in upper gastrointestinal tract SMT,its risk degree is positively correlated with the tumor size,which can provide reference for clinical diagnosis and treatment.关键词
上胃肠道/病理学/诊断/流行病学/胃肠道间质肿瘤/黏膜下肿物Key words
Upper gastrointestinal tract/Pathology/Diagnosis/Epidemiology/Gastrointestinal stromal tumors/Submucosal tumor
