Department of Surgery, College of Medicine, Mayo Clinic, Rochester, Minnesota 55905, USA.
J Surg Educ. 2010 Mar-Apr;67(2):99-102. doi: 10.1016/j.jsurg.2010.02.006.
Post hoc studies investigating patients with metastatic carcinoid tumors consistently have demonstrated outcomes that are not all too promising in terms of long-term survival, particularly for those with multiple metastases to the small bowel, mesentery, and liver. Here we present a patient with these clinical findings who, contrary to current expectations, has survived much longer than anticipated. This case is a sobering reminder for physicians not only to evaluate carefully and care for their patients but also to choose their words carefully in all communication with them.
事后研究调查转移性类癌肿瘤患者的长期生存结果并不太理想，特别是那些有小肠、肠系膜和肝脏多发转移的患者。在此，我们介绍一位具有这些临床发现的患者，与当前预期相反，他的存活时间远远超过预期。这个病例提醒医生不仅要仔细评估和照顾他们的患者，还要在与他们的所有沟通中谨慎用词。
