论文部分内容阅读
为探讨直肠类癌的病理学特点、诊断及治疗选择，对我院１９８７～１９９７年１０年间收治的２６例直肠类癌病例进行回顾性总结。２６例术前均行直肠镜检查并经病理学检查而确诊，其中１９例分别做了局部切除或局部扩大切除，７例因肿块直径大于２ｃｍ而行根治性手术。术后随访１～１０年，死亡５例。作者认为，直肠镜检查是术前发现直肠类癌的重要手段，对可疑病变行活检时，除常规行ＨＥ染色外，应加做嗜银染色、亲银染色以及免疫组化检查。手术治疗是其最佳的治疗方法，手术切除的范围取决于原发肿瘤的大小、浸润程度、淋巴结受累及肝转移等情况
In order to explore the pathological features, diagnosis and treatment options of rectal carcinoid tumors, we retrospectively reviewed 26 cases of rectal carcinoid tumors treated in our hospital from 1987 to 1997. Twenty-six cases were diagnosed by proctoscopy and confirmed by pathological examination. Among them, 19 cases underwent local resection or partial resection respectively, and 7 cases underwent radical surgery because the diameter of the tumor was more than 2 cm. After 1 to 10 years of follow-up, 5 patients died. The author believes that rectal examination is an important means of detecting rectal carcinoids before surgery. For biopsy of suspicious lesions, in addition to routine HE staining, argyrophilic silver staining, pro-silver staining, and immunohistochemical examination should be added. Surgical treatment is the best method of treatment. The scope of surgical resection depends on the size of the primary tumor, the degree of infiltration, lymph node involvement, and liver metastases.