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直肠类癌的组织学表现类似恶性肿瘤,但生物学行为更趋向于良性病变,故其治疗措施及预后明显不同于直肠腺癌。尤其是对于病灶直径1.0～2.0cm的直肠类癌,选择何种治疗方法尚存争议。内镜黏膜下剥离术(ESD)是近年来开展的一项新技术,主要用于胃肠道黏膜层和黏膜下层较大、广基病变的一次性完整切除。2008年9月-2010年6月,我们采用ESD治疗直肠类癌13例,疗效满意。现分析报告如下。
Rectal carcinoid histological manifestations of malignant tumors, but the biological behavior tends to benign lesions, so its treatment and prognosis is significantly different from rectal adenocarcinoma. Especially for the lesion diameter 1.0 ~ 2.0cm rectal carcinoid, choose what treatment is controversial. Endoscopic submucosal dissection (ESD) is a new technology developed in recent years, mainly for the gastrointestinal mucosa and submucosa larger, wide-based lesions of a one-time complete resection. From September 2008 to June 2010, we treated 13 cases of rectal carcinoid with ESD, with satisfactory results. The analysis report is as follows.