102例胃肠间质瘤外科手术疗效及预后影响因素分析

Gastrointestinal stromal tumor: A clinical analysis of 102 cases

  • 摘要: 目的 探讨胃肠间质瘤(gastrointestinal stromal tumor,GIST)的外科治疗效果及影响预后的因素。方法 回顾性分析宁波市第一医院2010年1月-2013年5月经外科治疗的102例胃肠间质瘤患者的临床资料,分析治疗效果及预后影响因素。结果 102例患者中,男38例,女64例,年龄(56.5±12.1)岁。胃肠间质瘤全部获得完整切除,随访1~88(中位为59.5)个月,13例死亡,1例出现转移,中位生存期为59个月,3年和5年生存率分别为94.9%和86.3%。单因素分析显示,年龄、肿瘤部位、肿瘤大小、核分裂象、改良NIH分级情况、术后是否接受伊马替尼治疗与远期预后相关。多因素分析显示,年龄(HR=21.448,P=0.021)、肿瘤大小(HR=0.060,P=0.029)、核分裂象(HR=0.008,P=0.034)、改良NIH分级(HR=0.213,P=0.044)是胃肠间质瘤远期生存的独立影响因素。结论 胃肠道间质瘤的外科治疗具有较好的效果。年龄、肿瘤大小、核分裂象、改良NIH分级是影响胃肠间质瘤预后的独立危险因素。

     

    Abstract: Objective To discuss the surgical treatment outcomes of gastrointestinal stromal tumor and clinicopathological factors affecting the prognosis. Methods Clinicopathological data of 102 patients with gastrointestinal stromal tumors from January 2010 to May 2013 in Ningbo First Hospital were retrospectively analyzed. The patients were followed up, and the outcomes of treatment and factors affecting the prognosis were analyzed. Results The gastrointestinal stromal tumor were completely excised in all cases, and they were followed up for 1-88(median, 59.5) months. Thirteen patients died, 1 case had metastasis, with the median overall survival of 59 months, and the 3-and 5-year survival rates were 94.9% and 86.3%. Univariate analysis showed that age, tumor site, tumor size, mitotic count, modified NIH risk stratification and whether received imatinib treatment after surgery were associated with the long-term prognosis. Multivariate analysis showed that age(HR=21.448; P=0.021), tumor size(HR=0.060; P=0.029), mitotic count(HR=0.008; P=0.034), modified NIH risk stratification(HR=0.213; P=0.044) were independent influencing factors for long term overall survival of patients with gastrointestinal stromal tumors. Conclusion Surgery is an effective method in treatment of gastrointestinal stromal tumors. Age, tumor size, mitotic count and modified NIH classification are independent influencing factors affecting the prognosis.

     

/

返回文章
返回