摘要
目的 探讨胃类癌的内镜特点、病理学特点及内镜下治疗方法。方法 对 1990年 1月至 2 0 0 3年 4月确诊的 18例胃类癌患者临床资料进行分析。结果 18例中典型类癌 5例 ,均表现为胃息肉样病变 ,胃多发息肉 (4～ 12个 )大小不等 ,直径 0 4～ 1 0cm ,表面黏膜欠光滑 ,呈桑葚状或结节状表面凸凹不平 ,可与炎性息肉或增生性息肉并存 ,活检及内镜下黏膜切除术后确诊 ,随访 5～ 35个月无复发。13例不典型类癌表现为溃疡浸润性肿物 ,多为形态不规则的单发大溃疡 ,直径 2cm以上 ,最大者 7cm× 8cm ,底部覆污秽苔 ,周边呈堤坝样隆起 ,与BorrmannⅢ型胃癌不易鉴别 ,经术后病理证实。结论 胃镜检查是胃类癌早期发现的重要手段 ,病理学及其免疫组织化学检查是确诊的方法 ,而内镜下黏膜切除术是微创治疗早期低度恶性胃类癌的首选。
Objective To investigate the endoscopic feat ures and endoscopical treatment of gastric carcinoid tumors.Methods The clinical and endoscopic materials of 18 patients w ith gastric carcinoid tumors was retrospectively reviewed.Results Five of the 18 patients were benign and 13 were maligna nt. Benign gastric carcinoid tumors were found by biopsy at endoscopy ,and were resected by endoscopic mucosal resection(EMR).Their endoscopic appearance was mu ltiple polypoid masses. 13 malignant patients were confirmed by surgery. Their e ndoscopic appearance was ulcerating and infiltrating lesions.Conclusion Gastroscopy remains to be valuable to set correct di agnosis of gastric carcinoid tumors. EMR may be the first choice for benign gast ric carcinoid tumors.
出处
《中华消化内镜杂志》
2004年第4期238-240,共3页
Chinese Journal of Digestive Endoscopy
