论文部分内容阅读
目的:提高消化道类癌的内镜诊断率,防止误诊,选择正确的治疗措施。方法:对云南省第二人民医院14例消化道类癌患者的临床资料进行回顾性分析。结果:消化道类癌临床表现无特异性,可发生于消化道各个部位,本组以直肠最多,内镜多表现为淡黄色广基隆起性病变,超声内镜示来源于黏膜下层低回声肿块,所有病例均行病理及免疫组化确诊,免疫组化标记物:CgA、NSE、Syn均阳性。14例中单纯内镜治疗9例,占64.3%;内镜治疗追加外科手术3例,占21.4%;外科手术治疗2例,占14.3%。结论:消化内镜加活检是诊断消化道类癌的首选方法,内镜治疗是除外外科手术治疗消化道类癌的另一种主要手段。
Objective: To improve the diagnostic rate of endoscopic diagnosis of gastrointestinal carcinoid, prevent misdiagnosis and choose the correct treatment. Methods: The clinical data of 14 patients with digestive carcinoid in Second People’s Hospital of Yunnan Province were analyzed retrospectively. Results: The clinical manifestations of gastrointestinal carcinoid tumor-specific non-specific, can occur in various parts of the digestive tract, the group of the most rectum, endoscopic multi-performance for the light yellow broad-based elevated lesions, ultrasound endoscopic submucosal hypoechoic mass , All cases were pathologically confirmed by immunohistochemistry, immunohistochemical markers: CgA, NSE, Syn were positive. In 14 cases, 9 cases were treated by endoscopic treatment alone, accounting for 64.3%. Three cases were surgically treated by endoscopic treatment, accounting for 21.4%. Surgical treatment was performed in 2 cases (14.3%). Conclusion: Digestive endoscopy plus biopsy is the preferred method of diagnosis of gastrointestinal carcinoid. Endoscopic treatment is another major means of surgical treatment of gastrointestinal carcinoid except surgery.