Nwiloh J O, Pillarisetty S, Moscovic E A, Freeman H P
Department of Surgery, Harlem Hospital Center, College of Physicians and Surgeons, Columbia University, New York, NY 10037.
J Surg Oncol. 1990 Dec;45(4):261-4. doi: 10.1002/jso.2930450410.
The authors carried out a retrospective study of 32 patients (23 M, 9 F) with carcinoid tumors who were diagnosed and treated at Harlem Hospital Center, New York, from 1967 to 1988. All the patients were black and the commonest sites were the ileum (28.1%), rectosigmoid and rectum (21.9%), and the appendix and lung (15.6% each). Metastasis correlated with site, size, and depth of the primary tumor and occurred in 12 patients (38%), most frequently to the regional lymph nodes and liver. Carcinoid syndrome developed in 12.5% (3 F, 1 M). Surgical resection for cure or palliation was the mainstay of treatment. Overall 5 year survival rate was 66%, and for those with metastases was 0%. The poorer survival rates are probably related to the socioeconomic status of our patient population. The only observed racial difference compared to other series is the preponderance of males, and the disproportionately higher ratio of females with the carcinoid syndrome.
作者对1967年至1988年期间在纽约哈莱姆医院中心诊断和治疗的32例类癌患者（23例男性，9例女性）进行了一项回顾性研究。所有患者均为黑人，最常见的发病部位是回肠（28.1%）、直肠乙状结肠和直肠（21.9%）以及阑尾和肺（各占15.6%）。转移与原发肿瘤的部位、大小和深度相关，12例患者（38%）发生了转移，最常见的转移部位是区域淋巴结和肝脏。类癌综合征在12.5%的患者（3例女性，1例男性）中出现。手术切除以治愈或缓解病情是主要的治疗方法。总体5年生存率为66%，有转移的患者5年生存率为0%。生存率较低可能与我们患者群体的社会经济状况有关。与其他系列相比，唯一观察到的种族差异是男性占多数，以及患类癌综合征的女性比例过高。
