消化道类癌的诊治和预后

目的:探讨消化道类癌的诊断、治疗和预后。方法:回顾性分析122例消化道类癌的临床资料。结果:消化道类癌临床表现不典型。54.1％的病例类癌浸及肌层,18％的类癌有区域淋巴结转移。随访3年以上的89例类癌其3年、5年和10年生存率分别为81.7％、66.7％和44.4％。结论:肿瘤直径<2cm者应行局部广泛切除术,>2cm者行根治术。结肠及胃部类癌切除范围应相对较大,而阑尾及空回肠类癌手术范围应相对较小。消化道癌早期手术预后较好。

Diagnosis and Treatment and Prognosis of Gastrointestinal Carcinoid

Objective: To study the diagnosis and treatment and prognosis of gastrointestinal carcinoid. Methods: The clinical data of 122 patients with gastrointestinal carcinoid were analysed retrospectively. Results: Clinical manifestations of gastrointestinal carcinoid were not specific. 54. 1% cases were infiltrating carcinoid. 18. 0% cases existed regional lymphatic metastasis. The 3- ,5- and 10 - year survival rates were 81.7% ,66.7%and44. 4% . Conclusions: Local extensive resection is the main choice for the carcinoid whioh diameters less than 2cm. Radical operation would be performed on the carcinoid whtch diameters more than 2cm . The resecting range of the multifocal or mixed carcinoid should be more extensive.