Department of Anesthesiology, Mount Sinai School of Medicine, 1 Gustave L. Levy Pl., Box 1010, New York, NY 10029, USA.
Anesth Analg. 2011 May;112(5):1158-60. doi: 10.1213/ANE.0b013e318214292f. Epub 2011 Mar 3.
Although carcinoid tumors arising from midgut structures are rare, the existence of these tumors is well documented. However, carcinoid tumors arising from the reproductive organs, such as primary ovarian carcinoids, are rare and sparsely documented. Because of this rarity, a small percentage of women may present with ovarian masses that are not properly diagnosed as carcinoid tumor creating unexpected hemodynamic changes under general anesthesia. However, prior knowledge of the clinical manifestations of this rare entity may improve the sensitivity of the preoperative evaluation and allow the anesthesiologist to take precautions as a result of the suspicion of ovarian carcinoid.
虽然源自中肠结构的类癌肿瘤较为罕见,但这些肿瘤的存在已有充分的文献记载。然而,源自生殖器官的类癌肿瘤则较为罕见,且相关文献记载甚少,例如原发性卵巢类癌。由于这种罕见性,一小部分女性可能会出现卵巢肿块,但这些肿块并未被正确诊断为类癌肿瘤,从而在全身麻醉下导致意外的血流动力学变化。然而,对这种罕见实体的临床表现有一定了解,可能会提高术前评估的敏感性,并使麻醉师能够因怀疑卵巢类癌而采取预防措施。