内镜下黏膜剥离术治疗直肠多发类癌1例  

Endoscopic mucosal dissection for multiple rectal carcinoids: A case report

作　　者：罗培培 欧希龙[2] Pei-Pei Luo;Xi-Long Ou(Department of Gastroenterology,Wujin People’s Hospital Affiliated to Jiangsu University,Changzhou 213000,Jiangsu Province,China;Department of Gastroenterology,Zhongda Hospital,Southeast University,Nanjing 210009,Jiangsu Province,China)

机构地区：[1]江苏大学附属武进人民医院消化内科,江苏省常州市213000 [2]东南大学附属中大医院消化内科,江苏省南京市210009

出　　处：《世界华人消化杂志》2022年第22期1004-1008,共5页World Chinese Journal of Digestology

基　　金：常州市重点研发计划项目,No.CJ20210012。

摘　　要：背景 直肠多发类癌,临床发病率较低,内镜下可达到治愈性切除,但有漏诊病灶的风险,术后随访非常重要.病例简介 本例患者因反复便血2月余就诊我院行肠镜检查,诊断为直肠多发类癌、痔疮等疾病,完善胸部+腹部+盆腔增强CT等检查排除类癌转移后行内镜下病变切除术治疗,共完整切除病灶8枚,术后病理+免疫组化再次证实为类癌组织,分类为G1,术后3 mo随访肠镜未见新发病灶.结论 对于小于1 cm的直肠多发类癌是可以通过内镜下剥离术治愈的,但需注意术后密切随访.BACKGROUND Multiple rectal carcinoids have a low incidence clinically.Curative resection can be achieved by endoscopy, but there is a risk of missing the lesion. Postoperative followup is very important.CASE SUMMARY A patient was diagnosed with multiple rectal carcinoids and hemorrhoids by colonoscopy due to repeated hematochezia for more than 2 mo. After chest, abdominal and pelvic contrast-enhanced CT examinations were completed to exclude carcinoid metastasis, endoscopic lesion resection was performed. A total of eight lesions were completely removed. Postoperative pathology and immunohistochemistry confirmed carcinoids, classified as G1. No new lesions were found by colonoscopy 3 mo after operation.CONCLUSION For multiple rectal carcinoids smaller than 1 cm, endoscopic dissection can be curative, but close follow-up should be performed.

关 键 词：直肠多发类癌 结肠镜检查 内镜下黏膜剥离术 

分 类 号：R735.37[医药卫生—肿瘤]