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小间质瘤的诊疗进展
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Abstract:
胃肠道间质瘤(GIST)是一种消化系统潜在恶性的间叶性肿瘤，其具有早期临床症状不典型的特点，给临床诊治带来困难。随着内镜技术的不断发展，越来越多的GIST被早期发现，可对于直径 ≤ 2 cm的小GIST的治疗目前国内外尚无统一的标准。对于无症状且经超声内镜检查不伴有高风险特征的小间质瘤可随访观察，具有高风险特征的小GIST可行外科手术治疗或消化内镜治疗。近年来，随着消化内镜器械、技术的迅速发展，多种内镜诊疗技术被广泛应用于小GIST的治疗，其安全性也被得到广泛认可。
Gastrointestinal stromal tumor (GIST) is a potential nausea mesenchymal tumor of the digestive system. It has the characteristics of atypical early clinical symptoms, which brings difficulties to clinical diagnosis and treatment. With the continuous development of endoscopic technology, more and more GISTs have been found early. There is no unified standard for the treatment of small GISTs with diameter ≤ 2 cm at home and abroad. Small stromal tumors that are asymptomatic and do not have high-risk characteristics by ultrasonic endoscopy can be followed up. Small gist with high-risk characteristics can be treated by surgery or digestive endoscopy. In recent years, with the rapid development of digestive endoscopic instruments and technologies, a variety of endoscopic diagnosis and treatment technologies have been widely used in the treatment of small gist, and their safety has been widely recognized.
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