Pasieka J L, McKinnon J G, Kinnear S, Yelle C A, Numerow L, Paterson A, Rorstad O, DiFrancesco L M, McEwan A, Skogseid B
Department of Surgery, University of Calgary, Alta.
Can J Surg. 2001 Feb;44(1):25-32.
To develop a collaborative approach for the treatment of gastrointestinal carcinoid tumours and carcinoid syndrome.
Leaders in the medical, endocrine, radiologic and surgical treatment of carcinoid disease were selected to present papers at the Carcinoid Syndrome Symposium on Treatment Modalities for Gastrointestinal Carcinoid Tumours and participate in the workshop that followed.
A multidisciplinary symposium with experts in the field of carcinoid syndrome was organized at the University of Calgary. Data presented, participation of the attendees and a review of the literature were used in the workshop to develop a collaborative approach to the management of carcinoid tumours.
Carcinoid tumours are rare and few centres have large experiences in their treatment. Before the development of this collaboration, patients with carcinoid tumours received a unidisciplinary approach depending on referral patterns. The development of a multidisciplinary neuroendocrine clinic helped to unify the approach to these patients, yet a consensus on the treatment of carcinoid tumours was lacking. The expertise at the symposium allowed for consensus and the development of treatment algorithms, including biochemical screening, radiographic localization and surgical intervention, for gastrointestinal carcinoid tumours. The role of medical and hormonal therapy after cytoreducion is presented.
Patients with carcinoid tumours require a multidisciplinary approach to their care.
制定一种用于治疗胃肠道类癌肿瘤和类癌综合征的协作方法。
类癌疾病医学、内分泌、放射和外科治疗领域的领导者被挑选出来，在胃肠道类癌肿瘤治疗方式类癌综合征研讨会上发表论文，并参与随后的研讨会。
在卡尔加里大学组织了一场有类癌综合征领域专家参加的多学科研讨会。研讨会上展示的数据、参会人员的参与情况以及文献综述被用于制定类癌肿瘤管理的协作方法。
类癌肿瘤罕见，很少有中心在其治疗方面有丰富经验。在这种协作开展之前，类癌肿瘤患者根据转诊模式接受单学科治疗方法。多学科神经内分泌诊所的建立有助于统一对这些患者的治疗方法，但在类癌肿瘤治疗方面仍缺乏共识。研讨会上的专业知识促成了共识以及治疗算法的制定，包括针对胃肠道类癌肿瘤的生化筛查、影像学定位和手术干预。还介绍了减瘤术后医学和激素治疗的作用。
类癌肿瘤患者需要多学科的护理方法。
