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中华普通外科学文献(电子版)

中华普通外科学文献(电子版) ›› 2008, Vol. 02 ›› Issue (04) : 317 -319. doi: 10.3877/cma.j.issn.1674-0793.2008.04.017

争鸣与讨论

十二指肠间质瘤的诊治和讨论
张信华1, 何裕隆1   
  1. 1.510080 广州，中山大学附属第一医院胃肠外科
  • 收稿日期:2008-06-10 出版日期:2008-08-01

Discussion and surgical treatment for duodenal gastrointestinal stromal tumors

Xin-hua ZHANG, Yu-ling HE   

  • Received:2008-06-10 Published:2008-08-01
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张信华, 何裕隆. 十二指肠间质瘤的诊治和讨论[J/OL]. 中华普通外科学文献(电子版), 2008, 02(04): 317-319.

Xin-hua ZHANG, Yu-ling HE. Discussion and surgical treatment for duodenal gastrointestinal stromal tumors[J/OL]. Chinese Archives of General Surgery(Electronic Edition), 2008, 02(04): 317-319.

表1 Choi改良CT评价标准
疗效 定义
完全缓解(CR) 肿瘤完全消失
无新发病灶
部分缓解(PR) 肿瘤缩小≥10％*或肿瘤密度(HU)下降≥15%;
无新发病灶
不可测量病灶无明显进展
疾病稳定(SD) 非CR、PR/SD
无肿瘤进展引发的症状加重
疾病进展(PD) 肿瘤增加≥10％*或CT肿瘤密度(HU)不符合PR
新发病灶
瘤内新发病灶，或原有的瘤内病灶体积增大
1
DeMatteo R, Lewis JJ, LeungD, et al. Two hundred gastrointestinal stromal tumors: recurrence patterns and prognostic factors for survival. Ann Surg,2000,231(1):51-58.
2
Choi H, Charnsangavej C, Faria SC, et al. Correlation of computed tomography and positron emission tomography in patients with metastatic gastrointestinal stromal tumor treated at a single institution with imatinib mesylate: proposal of new computed tomography response criteria. J Clin Oncol, 2007,25(13):1753-1759.
3
Goh BK,Chow PK,Kesavan S,et al.Outcome after surgical treatment of suspected gastrointestinal stromal tumors involving the duodenum:is limited resection appropriate?J Surg Oncol,2008,97(5):388-391.
4
DeMatteo R, Owzar K, Maki R, et al. Adjuvant imatinib mesylate incereases recurrence free survival in patients with completely resected localized pri-mary gastrointestinal stromal tumor(GIST):North American Intergroup Phase III trial ACOSOG Z9001.2007 ASCO Annual Meeting.Abstract 10079.
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