摘要
目的探讨直肠类癌的临床表现、内镜、病理特点及治疗选择。方法对经病理证实的直肠类癌的临床资料进行回顾性分析,对比文献资料进行探讨。结果本组患者无典型临床表现,内镜下表现为息肉样或淡黄色隆起的肿物。55例行肠镜下治疗,2例经肛镜行局部切除治疗,1例经肛镜局部切除后辅以化疗,1例手术后辅以放化疗。成功随访50例,均无复发或转移。结论直肠类癌早期缺乏典型临床表现,肠镜检查及病理是诊断类癌的重要手段;治疗方式的选择依据肿瘤的大小、浸润深度、有无淋巴结转移及远处转移而定。
Objective To study the clinical manifestations, endoscopic and pathologic features of rectal carcinoid tumor, and the selection of its therapy. Methods Clinical data about 59 cases of pathology-confirmed rectal carcinoid tumor were retrospectively analyzed with its literature reviewed. Results No typical clinical manifestations were found in these rectal carcinoid tumor patients. Endoscopy showed polypoid or yellowish submucosal tumors. Of the 59 patients, 55 received colonoscopy treatment, 2 underwent anoscopy local resection, and 1 received chemotherapy after anoscopy local resection. Fifty patients were followed up during which no recurrence or metastasis was found. Conclusion Early rectal carcinoid is short of typical clinical manifestations. Colonoscopy and pathologic examination play an important role in its early diagnosis. Its treatment depends on its size, infiltration depth, and lymph node or distal metastasis.
出处
《军医进修学院学报》
CAS
2012年第2期148-150,共3页
Academic Journal of Pla Postgraduate Medical School
关键词
类癌
直肠
肠镜
carcinoid
rectum
colonoscopy
