直肠类癌临床诊断治疗（附40例报告）

目的：探讨直肠类癌的诊断及治疗方法。方法：分析了40例直肠类癌的诊断方法、治疗原则及手术方式。结果：40例病人中37例得到随访,随访率93%,5年生存率90%。结论：直肠类癌症状不典型,诊断不易。手术应结合病变大小、浸润深度及有无转移决定术式。对于有肝转移者应力争同时切除原发灶和转移灶。其他类型的治疗（如化疗）可能会对延长病人的生存期有一定作用。

Diagnosis and treatment of carcinoid tumor of rectum:analysis of 40 cases

Objective:To approach the diagnosis and management of carcinoid tumor in recturm.Methods: Diagnosis,treatment and operation methods of 40 cases were analysed.Results:Of these cases,37 cases were followed up 93% and the 5-year survival rate was 90%.Conclusion:Survival opration should be individualized,taking the size,invasion and metastases of tumor into consideration.If accompanied with hepatic metastases, the primary tumor and hepatic metastases tumors should be resected simultaneously with efforts.Other kinds of treatment such as chemotherapy may help the patients with carcinoid tumor of rectum to prolong the survival period.