类癌106例临床分析

Clinical analysis of carcinoid tumors in 106 patients

目的:了解类癌的分布变化及临床特点。方法:对106例类癌手术患者进行回顾性分析。结果:类癌最多见于肺(56.6%),其次为直肠(18.9%)、胃(10.4%)、胸腺(4.7%),类癌患者局部淋巴结转移率36.8%,远处脏器转移率7.5%,类癌综合征发生率为4.7%,多原发癌发生率3.8%,手术切除率90.1%。结论:类癌发生以肺部类癌最常见;类癌综合症少见,多见于肺类癌;类癌手术切除率高,预后相对较好。

Objective:To study carcinoid tumor distribution change and clinical characteristic.Methods:106 operated patients with carcinoid tumors were analyzed retrospectively.Results:The lung was the most common site of carcinoid tumor(56.6%),the next were rectum(18.9%),stomach(10.4%) and thymus gland(4.7%).36.8% patients had regional lymph node metastasis and 7.5% patients had distant metastasis.Carcinoid syndrome occurred for 4.7% patients and multiple primary carcinoma occurred for 3.8% patients. Resection rate of the primary tumor was 90.1%.Conclusion:The lung is the most common site of carcinoid tumor. Carcinoid syndrome is quite umcommon,which usually occurs in lung carcinoid tumor patients. Resection rate of the carcinoid tumor is high and the prognosis is good .