胃肠道神经内分泌癌诊治分析  

Neuroendocrine Carcinoma of Gastrointestinal Tract

作　　者：潘定宇[1] 孙来宝[2] 陈纪伟[1] 乔建国[1] 贺银成[1] 史海安[1] 

机构地区：[1]武汉大学中南医院普外科,武汉430071 [2]广州军区武汉总医院消化内科,武汉430070

出　　处：《武汉大学学报（医学版）》2002年第3期238-240,共3页Medical Journal of Wuhan University

摘　　要：目的 :探讨胃肠道神经内分泌癌的临床诊断、病理学特点和治疗。方法 :回顾性分析 6 9例胃肠道神经内分泌癌的临床资料。结果 :5 3.6 %浸及肌层 ,2 3.2 %有区域淋巴结转移。 3,5 ,10年的生存率分别为 76 .5 %、6 7.3%、5 7.1%。结论 :胃肠道神经内分泌癌临床表现不典型 ,病理学诊断是其最后确诊的主要方法 ,手术切除的范围取决于原发肿瘤的大小、部位、浸润程度。Objective: To study the diagonosis, patholgical characteristics and treatment of gastrointestinal neuroendocrine carcinoma(GNEC). Methods: The clinical data of 69 patients were analysized retrospectively. Results: 53.6% of cases were infiltrating, 23.2% of cases showed regional lymphatic metatasis. The 3, 5 and 10 years survival rates were 76.5%, 67.3% and 57.1%. Conclusion: No specific clinical manifestation of GNEC is found. We believe that pathological examination is the main way of making a definite diagnosis in these patients; the choice of operation model must be made according to the size, location, infiltration degree of the tumor, the condition of infiltrated lymph nodeand hepatic metastasis.

关 键 词：胃肠道神经内分泌癌 胃肠肿瘤 神经内分泌肿瘤 病理学 诊断 治疗 GNEC 

分 类 号：R735[医药卫生—肿瘤]