胃肠道类癌

Gastrointestinal carcinoid

目的 探讨胃肠道类癌的诊断和治疗。方法 回顾性分析 10 4例胃肠道类癌的临床资料。结果 5 4 8%的类癌浸及肌层 ,16 3 %的类癌有区域淋巴结转移 ;3 ,5 ,10年生存率分别为 81 7% ,6 6 7% ,44 4%。结论 胃肠道类癌临床表现不典型。肿瘤直径 <2cm者可行局部广泛切除术 ;>2cm者应行根治术 ;结肠及胃部类癌多灶及混合性类癌切除范围应相对扩大 ,而阑尾及空回肠类癌手术范围应相对缩小。

Objective To study the diagnosis and treatment of gastrointestinal carcinoid. Methods The clinical data of 104 patients with gastrointestinal carcinoid were analysed retrospectively. Results 54.8% of cases were infiltrating carcinoid, 16.3% of cases showed regional lymphatic metastasis. The 3,5, and 10 years surivval rates were 81.7%, 66.7% and 44.4%. Conclusions No specific clinical manifestaions of gastrointestinal carcinoid is found. Local extensive resection is the main choice for the carcinoid with diamaters less 2?cm. Radical operation should be performed on the carcinoid of diameters more than 2?cm. The resection extension of colonic and gastric carcinoid, and multifocal or mixed carcinoid should be extensive; but for appendix, jejunal and ileal carcinoid, the resection exlension should be restricted.