消化道类癌合并肝转移误诊误治分析

目的探讨消化道类癌合并肝转移临床误诊和误治的原因。方法本组肝占位为首发症状者7例，伴有囊性或囊实性病灶者5例，合并类癌综合征者9例。结果误诊时间为1～57个月，平均为19．7个月。确诊前9例有1次以上的误治。针对性治疗4例无症状时间平均为19个月，平均存活期4．9年。一般治疗6例症状间隙期平均为5．7个月，平均存活期3．7年。结论应提高对本病的认识，减少误诊误治率，加强针对性治疗，延长生存期，提高生存质量。

Analyse of misdiagnosis and mistreatment of liver metastasis from alimentary carcinoid

Objective To discuss the causes of the misdiagnosis and mistreatment with progressive liver metastases secondary to alimentary carcinoid. Methods 10 cases were retrospectively analyzed,of whom 7 presented initial symptoms of liver neoplasm ,5 complicated with multiple cysts or solid cysts. Results The misdiagno- sis lasted 1 -57 months,averaging 19.7 months. Before the final diagnosis was made,9 cases in 10 patients had encountered mistreatment more than 1 time. Compared with those treated routinely, those pertinently treated showed an asymptom period of 19 months versus 5.7 months,a survival rate of 4. 9 months versus 3.7 months. Conclusion Awareness of liver metastases secondary to alimentary carcinoid should be noted to reduce the percentage improve of the misdiagnosis and mistreatment, thus pertinent treatment can be taken to increase survival rate and life quality.