32例胃肠道类癌的临床病理治疗及预后  

Clinical Pathology, Treatment and Prognosis in 32 Cases of Carcinoid Tumors of Gastrointestinal Tract

作　　者：李仲宏[1] 梁健[2] 黄开红[3] 闵军[4] 

机构地区：[1]广东省江门市人民医院外科,广东江门529000 [2]广东省江门市人民医院消化内科,广东江门529000 [3]中山医科大学孙逸仙纪念医院消化内科,广东广州510120 [4]中山医科大学孙逸仙纪念医院外科,广东广州510120

出　　处：《中山医科大学学报》2001年第5期395-397,共3页Academic Journal of Sun Yat-sen University of Medical Sciences

基　　金：广东省江门市科委科研基金资助项目 (2 0 0 0 163 )

摘　　要：【目的】探讨胃肠道类癌的临床及病理特点、诊断与治疗方法。【方法】对 1980～ 2 0 0 0年 32例胃肠道类癌的临床资料和 31例患者 1～ 5年的随访资料进行回顾性分析。【结果】所有患者均接受手术治疗并经病理证实 ,包括阑尾类癌 10例 ,结肠类癌 8例 ,直肠类癌 7例 ,胃类癌 4例 ,小肠类癌 2例 ,十二指肠类癌 1例。 32例胃肠道类癌中 ,良性类癌 2 5例 ,恶性类癌 7例。 8例患者术前经内镜活检证实 ,4例出现恶性类癌综合征。在平均 2 9个月的随访中 ,7例患者死于转移。【结论】胃肠道类癌大小、有无浸润及远处转移是判断胃肠道类癌良恶性的主要依据。胃肠道类癌的良、恶性是影响预后的主要因素 。To explore the clinical and pathologic characteristics, diagnostic and therapeutic methods for gastrointestinal carcinoid tumors (GICT). From 1980 to 2000, 32 cases with GICT were treated in our hospital, their clinical data including 1～5 years follow up data in 31 cases were analyzed retrospectively. All of the patients with GICT including appendix in 10, colonic in 8, rectal in 7, gastric in 5, intestinal in 1, duodenal in 1, were treated by surgical excision and confirmed by biopsy at endoscopy or surgery. 8 cases of GICT were found by biopsy at endoscopy before operation. 7 tumors were malignant and 25 benign. 4 patients showed carcinoid syndrome. During an average follow up of 29 months, 7 patients died of metastases. [Conclusion] Benign or malignant GICT depends on tumor size, local lymph node invasion and distant metastases. The prognostic factor is based on benign or malignant tumors. Operation may be the first choice for such patients.

关 键 词：胃肿瘤 肠肿瘤 类癌瘤 病理 诊断 治疗 预后 外科手术 

分 类 号：R735.3[医药卫生—肿瘤] R735.2[医药卫生—临床医学]