Raymond P L, Balaa M A
Division of Digestive Diseases, Jackson Veterans Affairs Medical Center, Mississippi.
Am J Gastroenterol. 1992 Feb;87(2):240-3.
The case of a patient with metastatic ileal carcinoid is reported. The peculiarities of this case were as follows: 1) The patient presented with symptoms attributable to a mass lesion in the brain which was proven to be a carcinoid tumor by biopsy. 2) The patient had symptoms attributable to carcinoid syndrome without radiologic evidence of hepatic metastasis. 3) No bony or pulmonary metastasis was evident, which suggests that the metastatic spread from the ileum occurred through the spinous venous plexus of Batson. The patient's symptoms were managed with cyproheptadine with good effect. A review of the carcinoid syndrome and the determinants of its metastatic spread is presented.
报告了一例转移性回肠类癌患者的病例。该病例的特点如下：1）患者出现脑部肿块病变的症状，活检证实为类癌肿瘤。2）患者有类癌综合征的症状，但无肝转移的影像学证据。3）无明显的骨转移或肺转移，这表明回肠的转移扩散是通过巴特森脊柱静脉丛发生的。患者的症状用赛庚啶治疗，效果良好。本文对类癌综合征及其转移扩散的决定因素进行了综述。
