直肠类癌的内镜下诊断与治疗

目的探讨直肠类癌的临床病理特点、诊断及治疗。方法对17例经内镜及病理学证实的直肠类癌病例进行回顾性分析,总结其临床表现、病理及治疗情况。结果直肠类癌多以腹痛、腹泻、大便性状改变为主要临床表现,免疫组化结果 CgA阳性率为53%,Syn阳性率为88%。所有患者经内镜下EMR或ESD治疗,无术中及术后迟发性出血发生。3例患者术后病理切缘可见肿瘤细胞,进一步追加外科手术治疗。结论直肠类癌主要通过内镜及病理学检查确诊,对于直径<1 cm的直肠类癌可采取内镜下切除治疗。

Endoscopic diagnosis and treatment of rectal carcinoid tumor

Objective To explore the clinical and pathological features,diagnosis and treatment of rectal carcinoid tumor.Methods 17 patients identified rectal carcinoid tumor by endoscopy and pathology were analyzed retrospectively.The clinical features,pathology and treatment were summarized.Results The main symptoms were abdominal pain,diarrhea and bowel habits changes.The positive rates of CgA and Syn were 53% and 88%.All patients underwent EMR or ESD endoscopic therapy,no bleeding happened during and after the operation.3 patients received supplement surgery because of tumor cells in the resection margin.Conclusion Rectal carcinoid tumor can be diagnosed by endoscopy and pathological examination.Endoscopic resection is the major treatment method for rectal carcinoid tumor less 1 cm in diameter.