摘要
胃神经鞘瘤是起源于间叶组织的肿瘤,临床发病率较为少见,占所有胃间质瘤的6.3%,肿瘤好发于胃体部,通常起源胃粘膜下神经从。大部分胃神经鞘瘤患者没有任何临床症状,影像学检查能起到诊断作用,但确定诊断仍需要病理学检查,其中S-100蛋白是诊断胃神经鞘瘤的"金标准"。胃神经鞘瘤通常需要与胃肠道间质瘤、胃肠自主神经肿瘤等相鉴别。治疗方面,完整的手术切除为首选治疗。
Gastric schwannoma is a tumor originating from mesenchymal tissue.The clinical incidence is relatively rare,accounting for 6.3%of all gastric stromal tumors.The tumor is more likely to occur in the body of the stomach and usually originates from the gastric submucosal nerve.Most gastric schwannomas do not have any clinical symptoms.Imaging examination can play a diagnostic role,but the diagnosis still requires pathological examination,especially S-100 protein which is the gold standard for the diagnosis of gastric schwannomas.Gastric schwannoma usually needs to be distinguished from gastrointestinal stromal tumors and gastrointestinal autonomic nerve tumors.In terms of treatment,complete surgical resection is the first choice.
作者
蒲昌盛
陈建飞
田远虎
蔡俊
程志雷
吴田田
索晓鹏
师稳再
吴宪佳
张克明
Pu Changsheng;Chen Jianfei;Tian Yuanhu;Cai Jun;Wu Tiantian;Cheng Zhilei;Suo Xiaopeng;Shi Wenzai;Wu Xianjia;Zhang Keming(Department of General Surgery,the Affiliated Hospital of Peking University,Beijing 102206,China)
出处
《国际外科学杂志》
2020年第4期284-288,共5页
International Journal of Surgery
基金
首都临床特色应用研究基金项目(Z141107002514108)
北京大学国际医院院内重点课题(YN2018ZD04)。
关键词
神经鞘瘤
胃
普通外科
胃肠病学和肝病学
Neurilemmoma
Stomach
General surgery
Gastroenterology and hepatology
作者简介
通信作者:张克明,Email:zhangkeming@pkuih.edu.cn。
