19例胃肠道类癌的内镜特点及临床分析  

Endoscopic characteristic and clinical analysis of gastrointesinal carcinoid in 19 patients

作　　者：吴利娟[1] 董彩红[1] 李敏[1] 赵勇洁[2] 

机构地区：[1]河南科技大学第一附属医院内镜中心,河南洛阳471003 [2]河南科技大学一附院眼科,河南洛阳471003

出　　处：《中国医药导报》2012年第8期148-149,共2页China Medical Herald

摘　　要：目的总结消化道类癌的内镜特点及治疗方法。方法回顾分析我院2004年1月~2011年1月确诊的19例消化道类癌患者的资料,总结其内镜下表现特点、治疗情况及随访结果。结果消化道类癌无特异性临床表现,病理确诊前,11例内镜下被误诊为息肉,1例胃镜下误诊为腺癌,后经病理检查确诊为类癌。内镜下治疗14例,外科手术切除5例。随访1~5年,预后较好。结论消化道类癌临床表现无特异性,内镜及病理检查是主要的诊断方法,超声内镜对治疗方法的选择有重要作用,内镜下治疗及手术治疗是主要的治疗手段。Objective To investigate the endoscopic characteristic and therapeutic method of gastrointesinal carcinoid.Methods The clinical data of 19 cases of patients with gastrointesinal carcinoid in our hospital from January 2004 to January 2011 were analyzed retrospectively,and the endoscope feature,therapy condition and following-up results were summarized.Results Gastrointesinal carcinoid had no special clinical manifestation,which was diagnosed by endoscopy,then affirmed by pathological examination.11 cases were misdiagnosed with polyp and 1 case was misdiagnosed with adenocarcinoma before affirmed by pathological examination.14 cases were given the endoscopic treatment and 5 cases were given the surgical excision treatment.The patients were followed up 6 months to 5 years,prognosis were good.Conclusion Gastrointesinal carcinoid is lack of specific clinical manifestation,endoscopic and pathological examination are the main diagnostic method.Endoscopic ultrasound plays an important role on the selection of therapeutic method,and the endoscopic and surgical excision treatment are the important treatment methods.

关 键 词：消化道类癌 内镜特点 治疗 

分 类 号：R735.2[医药卫生—肿瘤]