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类癌也称嗜银细胞癌 ,90 %以上发生于胃肠道 ,以阑尾最常见 ,但国内报道直肠类癌高发于阑尾 ,直肠类癌临床表现缺乏特征性 ,易被忽略或误诊。本文就华西医科大学附一院 1995~ 1998年收治的 6例经病理证实的直肠类癌分析如下。1 临床资料1 1 一般资料 本组 6例病例中 ,男性 5例 ,女性 1例 ,年龄 4 3~ 75岁 ,平均年龄 57 3岁。1 2 临床表现 便血 1例 ,便血伴大便变细 1例 ,伴腹泻 2例 ,伴便秘 1例 ,大便变细伴便秘 1例。无 1例出现类癌综合征。1 3 肛检及结肠镜检 肛门指检有 5例发现直肠包块 ,质硬 ,无压痛。结肠镜检在直肠窥见质硬… 相似文献
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类癌是一种特殊类型肿瘤,其组织结构似癌,但发展缓慢,又极少转移,与癌不同,故称类癌,因具嗜银性,又称嗜银细胞瘤。直肠类癌是少见的神经内分泌肿瘤的一种,约占整个胃肠类癌的15%-17%和全身各类肿瘤的1%-2%。由于该病发病缓慢,症状隐匿,故容易误诊。 相似文献
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目的:探讨直肠类癌的诊断及治疗。方法:回顾性总结归纳26例直肠类癌的诊治。结果:除其中2例转外科行经肛门直肠类癌局部切除术外,其余24例行肠镜下EMR切除,全部病例术后病理证实均为直肠类癌,术后26例全部存活,随访至今,无1例复发,无肝脏等远处转移。结论:内镜下切除直肠类癌是安全、微创、痛苦小、费用少的好方法,可作为治疗首选,如不能内镜切除,可外科手术。 相似文献
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目的:对直肠类癌的临床诊治进行分析和总结。方法:对14例经肠镜和超声内镜及病理诊断证实的直肠类癌患者的临床诊治资料进行回顾性分析和总结。结果14例患者中12例(85.7%)直肠类癌位于距肛门8cm以内的直肠。内镜治疗6例,随访3年均无复发及转移;手术治疗8例,其中局部切除5例,局部扩大切除2例,根治性切除1例。结论:内镜和超声内镜对直肠类癌的诊断和治疗有重要作用,肿瘤直径〈1.0cm、浸润深度没有超出粘膜下层,可行内镜下局部切除。若肿瘤〉1.5cm和浸及肌层,有淋巴结转移,应行手术治疗。 相似文献
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11例直肠类癌的临床分析 总被引:1,自引:0,他引:1
目的:对直肠类癌的诊治进行总结探讨。方法:对临床发现的11例类癌的诊治进行综合分析、总结。结果:11例患者均行肠镜下全瘤电切摘除确诊,3例患者先后追加外科手术摘除。结论:全瘤电切取材,可一次确诊免于漏、误诊;肠镜下全瘤电切在治疗上首选,如高危因素增多,则应追加手术切除。 相似文献
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直肠类癌15例临床及病理分析 总被引:1,自引:0,他引:1
目的 探讨直肠类癌的临床及病理特点.方法 对15例经病理诊断证实的直肠类癌患者的临床资料进行回顾分析.结果 15例患者中12例(80%)直肠类癌位于距肛门8cm以内的直肠,免疫组化显示肿瘤对多种神经内分泌标志物反应阳性.内镜治疗4例,均无复发及转移;单纯局部切除4例,1例失访,3例随访4~6年无复发;手术治疗7例,2例失访,5例死于原发病.结论 直肠指检对发现直肠类癌有重要作用,较小的直肠类癌适宜内镜治疗. 相似文献
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熊元刚 《中国煤炭工业医学杂志》2012,15(6):852-853
目的探索直肠类癌的诊断和治疗方法。方法结合文献回顾性分析我院2001—2006年经病理证实的10例直肠类癌的临床资料。结果 8例直径<2cm经肛门局部切除术后经6个月~5年随访无一例复发或转移;1例直径>2cm者行根治性手术,术后3年未复发;2例发现直肠类癌时已有肝转移灶,1例随访2.5年无复发或转移;1例直肠多发类癌行根治性手术随诊2年无复发或转移。结论直肠类癌应早期诊断,早期治疗,对于不同大小的肿瘤,应采取不同的手术方法。 相似文献
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直肠类癌的诊断与治疗(附45例分析) 总被引:1,自引:0,他引:1
目的:探讨直肠类癌的诊断及治疗手段。方法:本文分析了45例直肠类癌的诊断要点,手术原则及手术方法。结果:45例病人中,39例得到随访,随访率86.6%,5年生存率43.8%。结论:直肠类癌症状无特殊性,诊断不易。>40岁有直肠肛管症状者应想到本病的可能,并作常规肛指检查。有怀疑者应行病理组织检查,必要时切片作免疫组化染色以提高诊断率,手术应结合病变大小,浸润深度,个体化治疗。对于有肝转移应力急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。 相似文献
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HE Xiao-wen WU Xiao-jian HE Xiao-sheng ZOU Yi-feng KE Jia WANG Jian-ping LAN Ping 《中华医学杂志(英文版)》2001,122(1):1591-1594
Carcinoids of the pancreas are exceedingly rare tumors that orieinate from the enterochromaffin cells of the gastroenteropancreatic neuroendocrine system. According to a recent report,1 pancreatic carcinoids are found in only 0.58% (79/13 715 cases) of the entire carcinoid group. Todate, very limited information regarding the detection and diagnosis of this entity has been reported in the available literature. Although pancreatic carcinoid tumors grow. 相似文献
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HE Xiao-wen WU Xiao-jian HE Xiao-sheng ZOU Yi-feng KE Jia WANG Jian-ping LAN Ping 《中华医学杂志(英文版)》2007,122(1):1591-1594
Carcinoids of the pancreas are exceedingly rare tumors that orieinate from the enterochromaffin cells of the gastroenteropancreatic neuroendocrine system. According to a recent report,1 pancreatic carcinoids are found in only 0.58% (79/13 715 cases) of the entire carcinoid group. Todate, very limited information regarding the detection and diagnosis of this entity has been reported in the available literature. Although pancreatic carcinoid tumors grow. 相似文献
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HE Xiao-wen WU Xiao-jian HE Xiao-sheng ZOU Yi-feng KE Jia WANG Jian-ping LAN Ping 《中华医学杂志(英文版)》2000,122(1):1591-1594
Carcinoids of the pancreas are exceedingly rare tumors that orieinate from the enterochromaffin cells of the gastroenteropancreatic neuroendocrine system. According to a recent report,1 pancreatic carcinoids are found in only 0.58% (79/13 715 cases) of the entire carcinoid group. Todate, very limited information regarding the detection and diagnosis of this entity has been reported in the available literature. Although pancreatic carcinoid tumors grow. 相似文献
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HE Xiao-wen WU Xiao-jian HE Xiao-sheng ZOU Yi-feng KE Jia WANG Jian-ping LAN Ping 《中华医学杂志(英文版)》2009,122(1):1591-1594
Carcinoids of the pancreas are exceedingly rare tumors that orieinate from the enterochromaffin cells of the gastroenteropancreatic neuroendocrine system. According to a recent report,1 pancreatic carcinoids are found in only 0.58% (79/13 715 cases) of the entire carcinoid group. Todate, very limited information regarding the detection and diagnosis of this entity has been reported in the available literature. Although pancreatic carcinoid tumors grow. 相似文献
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HE Xiao-wen WU Xiao-jian HE Xiao-sheng ZOU Yi-feng KE Jia WANG Jian-ping LAN Ping 《中华医学杂志(英文版)》2002,122(1):1591-1594
Carcinoids of the pancreas are exceedingly rare tumors that orieinate from the enterochromaffin cells of the gastroenteropancreatic neuroendocrine system. According to a recent report,1 pancreatic carcinoids are found in only 0.58% (79/13 715 cases) of the entire carcinoid group. Todate, very limited information regarding the detection and diagnosis of this entity has been reported in the available literature. Although pancreatic carcinoid tumors grow. 相似文献
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HE Xiao-wen WU Xiao-jian HE Xiao-sheng ZOU Yi-feng KE Jia WANG Jian-ping LAN Ping 《中华医学杂志(英文版)》2003,122(1):1591-1594
Carcinoids of the pancreas are exceedingly rare tumors that orieinate from the enterochromaffin cells of the gastroenteropancreatic neuroendocrine system. According to a recent report,1 pancreatic carcinoids are found in only 0.58% (79/13 715 cases) of the entire carcinoid group. Todate, very limited information regarding the detection and diagnosis of this entity has been reported in the available literature. Although pancreatic carcinoid tumors grow. 相似文献
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HE Xiao-wen WU Xiao-jian HE Xiao-sheng ZOU Yi-feng KE Jia WANG Jian-ping LAN Ping 《中华医学杂志(英文版)》2006,122(1):1591-1594
Carcinoids of the pancreas are exceedingly rare tumors that orieinate from the enterochromaffin cells of the gastroenteropancreatic neuroendocrine system. According to a recent report,1 pancreatic carcinoids are found in only 0.58% (79/13 715 cases) of the entire carcinoid group. Todate, very limited information regarding the detection and diagnosis of this entity has been reported in the available literature. Although pancreatic carcinoid tumors grow. 相似文献