Testi Walter, Lo Gatto Marianna, Malatesti Riccardo, Staffieri Carmen, Macchitella Yuri, Genovese Alberto, Baldoni Giulia, Flauti Giuseppe, Mancini Stefano, Coratti Francesco, Borgogni Vanessa
U O di Chirurgia Generale III, Dipartimento di Chirurgia, Policlinico Universitario, Università degli Studi di Siema.
Chir Ital. 2008 Sep-Oct;60(5):669-74.
The observation of a number of cases of intestinal carcinoid tumours prompted the authors to review the literature in order to define the principal biological and anatomopathological aspects and the current therapeutic choices. The diagnosis is often obtained on the basis of anatomopathological examination. The kind of surgical treatment is still a matter of controversy: minimal or extended resection? A number of criteria may orient the surgeon towards major surgery, such as tumour size, node involvement, infiltration of the serous membrane, and liver metastases.
对多例肠道类癌肿瘤的观察促使作者查阅文献,以明确主要的生物学和解剖病理学方面以及当前的治疗选择。诊断通常基于解剖病理学检查得出。手术治疗方式仍存在争议:是进行微创切除还是扩大切除?一些标准可引导外科医生倾向于进行大手术,如肿瘤大小、淋巴结受累情况、浆膜浸润以及肝转移。