Schmidtler F, Spelsberg F, Schmidt K R, Pfeifer K J
MMW Munch Med Wochenschr. 1979 Apr 27;121(17):597-600.
Special features which enable preoperative differential diagnosis are dealt with in detail with reference to 44 patient with carcinoid of the digestive tract. Carcinoid of the appendix becomes noticable early with signs of acute or chronic appendicitis and in 94% of cases is operated on in good time. Angiography of the superior mesenteric artery shows a characteristic stellate figure in the mesenterium in carcinoid of the small intestine. In contrast to the primary tumor, liver metastases show intense vascularization in the angiogram. A rise in urinary excretion of 5-hydroxyindole acetic acid is pathognomonic for carcinoid, its determination permits the checking of operative radicality and shows the appearance of metastases early.
结合44例消化道类癌患者，详细探讨了有助于术前鉴别诊断的特殊特征。阑尾类癌早期可出现急性或慢性阑尾炎症状，94%的病例能及时进行手术。肠系膜上动脉造影显示小肠类癌在肠系膜中有特征性的星状图形。与原发肿瘤不同，肝转移瘤在血管造影中显示出强烈的血管化。5-羟吲哚乙酸尿排泄量升高是类癌的特征性表现，其测定有助于检查手术根治性并早期发现转移灶。
