结肠类癌8例报道

COLONIC CARCINOID——A Report of 8 Cases

本文报道8例结肠类癌,常见的发病部位在盲肠和升结肠。因结肠类癌和腺癌在临床表现和X线方面很难鉴别,所以术前确诊较为困难,给合文献复习,我们认为类癌综合征的存在和尿中5-HIAA测定在本病的术前诊断中有重要价值。其治疗方法是手术切除,预后与术时有无转移有关,本文还讨论了类癌综合征及类癌的病理。

Eight Patients with colonic carcinoid (3 males and 5 females) were surgically treated in our hospital from 1981 to 1986. The mean age was 47.8 years. Preoperative diagnostic accuracy, was poor because the differentiation of colonic carcinoid from adenocarcinorma in clinic features and X-ray findings was difficult. We suggest that, the presence of malignant carcinoid syndrome and determination of 5-HIAA in the urine play a key role in the preopcrative diagnosis of colonic carcinoid. An appropriate approach to management of colonic carcinoid is operative resection. Prognosis of the patient is related to whether there are carcinoid metastases during operation. The pathology of carcinoid and malignant carcinoid syndrome are discussed in this article.