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超声内镜在胃间质瘤诊疗中的研究进展
Research Progress of Endoscopic Ultrasonography in Diagnosis and Treatment of Gastric Stromal Tumors

DOI: 10.12677/ACM.2023.132206, PP. 1485-1492

Keywords: 超声内镜,胃间质瘤,诊断,鉴别诊断,侵袭风险度,治疗
Endoscopic Ultrasound
, Gastric Stromal Tumor, Diagnosis, Differential Diagnosis, Risk of Invasion, Treatment

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Abstract:

胃间质瘤是最常见的胃壁非上皮性间叶源性肿瘤,具有恶性潜能,起病隐匿,无特异性表现,病理证实为恶性者预后较差,早诊断早治疗可明显改善患者预后。近年来,随着超声内镜技术水平不断提高及广泛运用,已成为公认的胃间质瘤的首选检查方法,且能与其他的胃黏膜下肿瘤鉴别。超声内镜能对胃间质瘤侵袭危险度评估,并更好地指导下一步治疗。超声内镜尚不能作为最终的诊断方式,确诊病变需结合病理结果。
Gastric stromal tumor is the most common non epithelial mesenchymal tumor of gastric wall, with malignant potential, hidden onset, and no specific performance. Patients with pathological confir-mation of malignancy have poor prognosis. Early diagnosis and early treatment can significantly improve the prognosis of patients. In recent years, with the continuous improvement and wide ap-plication of endoscopic ultrasonography, it has become the recognized first choice for the detection of gastric stromal tumors, and can be differentiated from other gastric submucosal tumors. Endo-scopic ultrasonography can evaluate the invasion risk of gastric stromal tumors and better guide the next treatment. Endoscopic ultrasonography can not be used as the final diagnostic method, and the diagnosis of lesions needs to be combined with pathological results.

References

[1]  Al-Share, B., Alloghbi, A., Al Hallak, M.N., et al. (2021) Gastrointestinal Stromal Tumor: A Review of Current and Emerging Therapies. Cancer and Metastasis Reviews, 40, 625-641.
https://doi.org/10.1007/s10555-021-09961-7
[2]  Ke, C.W., Cai, J.L., Chen, D.L., et al. (2010) Extraluminal Lap-aroscopic Wedge Resection of Gastric Submucosal Tumors: A Retrospective Review of 84 Cases. Surgical Endoscopy, 24, 1962-1968.
https://doi.org/10.1007/s00464-010-0888-2
[3]  Nilsson, B., Bümming, P., Meis-Kindblom, J.M., et al. (2005) Gastrointestinal Stromal Tumors: The Incidence, Prevalence, Clinical Course, and Prognostication in the Preimatinib Mesylate Era—A Population-Based Study in Western Sweden. Cancer, 103, 821-829.
https://doi.org/10.1002/cncr.20862
[4]  Chandrasekhara, V. and Ginsberg, G.G. (2011) Endoscopic Management of Gastrointestinal Stromal Tumors. Current Gastroenterology Reports, 13, 532-539.
https://doi.org/10.1007/s11894-011-0224-6
[5]  王芳芳, 韩宇, 张彩凤. 胃肠道间质瘤的研究进展[J]. 现代消化及介入诊疗, 2021, 26(10): 1318-1322.
[6]  林晨, 张再重, 王烈. 胃肠间质瘤诊断和治疗进展[J]. 肿瘤防治研究, 2022, 49(1): 1-4.
[7]  刘锦涛, 余细球, 侯华军, 等. 超声内镜对内镜治疗消化道隆起性病变的指导价值[J]. 中国内镜杂志, 2008, 14(3): 243-245.
[8]  马栋, 汪红红, 周永宁. 超声内镜诊断胃间质瘤与术后病理的一致性观察及其诊断准确率的影响因素分析[J]. 中国内镜杂志, 2021, 27(10): 40-45.
[9]  于洪波, 戴林, 李爱萍, 等. 超声内镜对例上消化2886道隆起性病变诊断和治疗价值分析[J]. 胃肠病学和肝病学杂志, 2015, 24(12): 1437-1439.
[10]  沈丹丹, 吕志武, 邱月虹, 王鸿. 超声内镜对胃间质瘤的研究进展[J]. 胃肠病学和肝病学杂志, 2015, 24(10): 1249-1252.
[11]  Palazzo, L., Landi, B., Cellier, C., et al. (2000) Endosonographic Features Predictive of Benign and Malignant Gastrointestinal Stromal Cell Tumours. Gut, 46, 88-92.
https://doi.org/10.1136/gut.46.1.88
[12]  马丹, 张澍田, 张倩, 孟凡冬, 李鹏. 以胃间质瘤为初诊患者行内镜下治疗后的病理符合情况[J]. 临床和实验医学杂志, 2019, 18(17): 1864-1866.
[13]  Minoda, Y., Ihara, E., Komori, K., et al. (2020) Efficacy of Endoscopic Ultrasound with Artificial Intelligence for the Diagnosis of Gastrointestinal Stromal Tumors. Journal of Gastroenterology, 55, 1119-1126.
https://doi.org/10.1007/s00535-020-01725-4
[14]  康劲松, 程斌, 马珩, 马晓敏, 颜芳, 赵雅桐, 雷清华. 超声内镜引导下细针穿刺细胞病理学检查对胃肠道间质瘤的诊断及鉴别诊断[J]. 华中科技大学学报(医学版), 2022, 51(4): 526-530.
[15]  Reddymasu, S.C., Oropeza-Vail, M., Pakseresht, K., et al. (2012) Are Endoscopic Ultrasonogra-phy Imaging Characteristics Reliable for the Diagnosis of Small Upper Gastrointestinal Subepithelial Lesions? Journal of Clinical Gastroenterology, 46, 42-45.
https://doi.org/10.1097/MCG.0b013e318226af8e
[16]  刘孟麟, 陈伟庆. 超声内镜评分对消化道及壁外压迫性病变良恶性的诊断价值[J]. 第三军医大学学报, 2015, 37(13): 1382-1387.
[17]  朱兰平, 王泽癸, 马双, 等. 超声内镜在胃黏膜下肿瘤诊断中的局限性[J]. 中国内镜杂志, 2018, 24(1): 29-33.
[18]  李智慧. 胃间质瘤和胃平滑肌瘤的内镜检查鉴别诊断特征差异[J]. 数理医药学杂志, 2021, 34(5): 653-655.
[19]  Kim, S.H., Yoo, I.K., Kwo, C.I., et al. (2020) Utility of EUS Elastography in the Diagnosis of Gastric Subepithelial Tumors: A Pilot Study (with Video). Gastrointestinal Endoscopy, 91, 172-177.
https://doi.org/10.1016/j.gie.2019.09.012
[20]  Sou, S., Nagahama, T., Nomura, H., et al. (2006) Hemorrhagic Du-odenal Lipoma Managed by Endoscopic Resection. Journal of Gastroenterology and Hepatology, 21, 479-481.
https://doi.org/10.1111/j.1440-1746.2006.03178.x
[21]  秦月花, 骆泉, 张凯杰. 超声内镜对胃脂肪瘤及间质瘤的鉴别诊断价值[J]. 中国超声医学杂志, 2014, 30(1): 41-44.
[22]  Sakamoto, H., Kitano, M. and Kudo, M. (2010) Diagnosis of Subepithelial Tumors in the Upper Gastrointestinal Tract by Endoscopic Ultrasonography. World Journal of Radiology, 2, 289-297.
https://doi.org/10.4329/wjr.v2.i8.289
[23]  Reddy, Y. and Willert, R.P. (2009) Endoscopic Ultrasound: What Is It and When Should It Be Used? Journal of Clinical Medicine, 9, 539-543.
https://doi.org/10.7861/clinmedicine.9-6-539
[24]  周春贤, 何海矛, 张小娟. 超声内镜与胃镜检查对上消化道黏膜下肿瘤的诊断效果分析[J]. 临床医学工程, 2021, 28(3): 281-282.
[25]  Croom, K.F. and Perry, C.M. (2003) Imatinib Mesylate: In the Treatment of Gastrointestinal Stromal Tumours. Drugs, 63, 513-522.
https://doi.org/10.2165/00003495-200363050-00005
[26]  Kim, I.H., Kwak, S.G. and Chae, H.D. (2015) Prognos-tic Factors of Patients with Gastric Gastrointestinal Stromal Tumor after Curative Resection: A Retrospective Analysis of 406 Consecutive Cases in a Multicenter Study. European Surgical Research, 55, 12-23.
https://doi.org/10.1159/000375234
[27]  冯江峰, 赵振华, 王挺, 等. 胃肠道间质瘤磁共振表现与肿瘤危险度分级的相关性研究[J]. 医学研究杂志, 2019, 48(3): 58-62.
[28]  中国临床肿瘤学会指南工作委员会. 中国临床肿瘤学会(CSCO)胃肠间质瘤诊疗指南2020 [M]. 北京: 人民卫生出版社, 2020.
[29]  卢光荣, 周羽翙, 钟金伟, 金健威, 符媚, 虞晨, 黄智铭, 薛战雄. 不同侵袭危险性胃间质瘤的超声内镜图像特点比较及相关危险因素分析[J]. 中国内镜杂志, 2016, 22(1): 1-4.
[30]  Zhao, Y., Qian, L., Li, P., et al. (2016) The Diagnostic Value of Endoscopic Ul-trasonography and Contrast-Enhanced Harmonic Endoscopic Ultrasonography in Gastrointestinal Stromal Tumors. En-doscopic Ultrasound, 5, 111-117.
https://doi.org/10.4103/2303-9027.180475
[31]  郎翠翠, 李玉红, 董新茜. 超声内镜下胃间质瘤特征与病理诊断相关性研究[J]. 中华消化内镜杂志, 2011, 28(6): 305-308.
[32]  陈丽萍, 余志金, 陈惠新. 超声内镜联合Ki-67、DOG1表达对胃肠道间质瘤诊断、危险性分级的评估价值[J]. 湖南师范大学学报(医学版), 2021, 18(6): 232-236.
[33]  许小伍, 朱林. 胃肠道间质瘤危险度分级与CT征象的相关性分析[J]. 现代肿瘤医学, 2022, 30(9): 1653-1656.
[34]  张亚栋, 赵瑞峰, 李杰. 不同危险度分级胃肠道间质瘤MRI影像学特征及诊断价值[J]. 中国CT和MRI杂志, 2022, 20(9): 147-149.
[35]  陆芬英, 成翠娥, 王伟, 肖龙, 陆志平, 黄国进, 王斌, 黄夏. 超声内镜弹性成像技术在胃间质瘤危险度评估中的价值[J]. 交通医学, 2022, 36(2): 176-179.
[36]  李葚煦, 陈路增, 邵玉红, 张惠, 王彬. 胃间质瘤超声影像学特征与侵袭危险性的相关性分析[J]. 中国超声医学杂志, 2019, 35(7): 612-615.
[37]  Khashab, M.A. and Pasricha, P.J. (2013) Conquering the Third Space: Challenges and Opportunities for Diagnostic and Therapeutic Endoscopy. Gastrointestinal Endoscopy, 77, 146-148.
https://doi.org/10.1016/j.gie.2012.09.022
[38]  李军, 蔡航航, 王渝. 胃肠小间质瘤的临床病理特征及预后[J]. 安徽医科大学学报, 2020, 55(12): 1945-1949.
[39]  陈勃聿, 秦鸣放. 胃镜、超声内镜辅助腹腔镜治疗在胃间质瘤中的应用[J]. 山东医药, 2015, 5(1): 50-52.
[40]  盛娟, 伍瑞, 左赞, 张华杰, 谢余澄, 余福兵, 郝玲, 何夕昆. 胃间质瘤内镜超声量化评分系统对内镜下切除胃间质瘤风险性评估的价值[J]. 中国内镜杂志, 2015, 21(6): 579-582.
[41]  Loong, H.H. (2007) Gastro-Intestinal Stromal Tumors: A Review of Current Management Options. Hong Kong Medical Journal, 13, 61-65.
[42]  Lukaszczyk, J.J. and Preletz, R.J. (1992) Laparoscopic Resection of Be-nign Stromal Tumor of the Stomach. Journal of Laparoendoscopic Surgery, 2, 331-334.
https://doi.org/10.1089/lps.1992.2.331
[43]  von Mehren, M., Randall, R.L., Benjamin, R.S., et al. (2018) Soft Tis-sue Sarcoma, Version 2.2018, NCCN Clinical Practice Guidelines in Oncology. Journal of the National Comprehensive Cancer Network, 16, 536-563.
https://doi.org/10.6004/jnccn.2018.0025
[44]  熊克辉, 严命熔, 黄小荣. 超声内镜引导下腹腔镜切除术治疗胃肠道黏膜下肿瘤的临床研究[J]. 实用中西医结合临床, 2021, 21(19): 46-47+81.
[45]  National Comprehensive Cancer Network (2021) NCCN Clinical Practice Guidelines in Oncology: Gastrointestinal Stromal Tumors (GISTs), Version 1.
https://www.nccn.org/professionals/physician_gls/default.aspx#gist
[46]  Marshall, C.A., Hyatt, B.J. and Wassef, W. (2010) Endoscopic Removal of Small Gastrointestinal Stromal Tumors: Can We GIST-ify the Risk? Di-gestive Diseases and Sciences, 55, 1815-1817.
https://doi.org/10.1007/s10620-010-1242-1
[47]  周平红, 姚礼庆, 徐美东, 等. 内镜黏膜下剥离术治疗消化道固有肌层肿瘤[J]. 中华消化内镜杂志, 2008, 25(1): 22-25.
[48]  Bialek, A., Wiechowska-Kozlowska, A., Pertkiewicz, J., et al. (2012) Endoscopic Submucosal Dissection for Treatment of Gastric Subepithelial Tumors (with Vidio). Gastro-intestinal Endoscopy, 75, 276-286.
https://doi.org/10.1016/j.gie.2011.08.029
[49]  陈冬梅, 王红建. 内镜黏膜下剥离术治疗胃间质瘤出现并发症的可能危险因素分析[J]. 临床消化病杂志, 2021, 33(6): 406-410.
[50]  田野, 李学良. 超声内镜对胃粘膜下间质瘤内镜下全层切除术的安全性预测[J]. 中国临床研究, 2016, 29(11): 1495-1497.

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