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直肠神经内分泌肿瘤伴罕见转移扩散:一例报告并文献复习

Rectal neuroendocrine tumor with uncommon metastatic spread: A case report and review of literature.

作者信息

Tsoukalas Nikolaos, Galanopoulos Michail, Tolia Maria, Kiakou Maria, Nakos Georgios, Papakostidi Aristoula, Koumakis Georgios

机构信息

Nikolaos Tsoukalas, Maria Kiakou, Department of Medical Oncology, 401 General Military Hospital, 11525 Athens, Greece.

出版信息

World J Gastrointest Oncol. 2016 Feb 15;8(2):231-4. doi: 10.4251/wjgo.v8.i2.231.

Abstract

Neuroendocrine tumors of the gastrointestinal tract are rare neoplasms. Rectal neuroendocrine tumors consist approximately the 5%-14% of all neuroendocrine neoplasms in Europe. These tumors are diagnosed in relatively young patients, with a mean age at diagnosis of 56 years. Distant metastases from rectal neuroendocrine tumors are not very common. Herein we describe a case of a rectal neuroendocrine tumor which metastasized to the lung, mediastinum and orbit. This case underscores the importance of early identification and optimal management to improve patient's prognosis. Therefore, the clinical significance of this case is the necessity of physicians' awareness and education regarding neuroendocrine tumors' diagnosis and management.

摘要

胃肠道神经内分泌肿瘤是罕见的肿瘤。直肠神经内分泌肿瘤约占欧洲所有神经内分泌肿瘤的5%-14%。这些肿瘤在相对年轻的患者中被诊断出来,诊断时的平均年龄为56岁。直肠神经内分泌肿瘤的远处转移并不常见。在此,我们描述一例直肠神经内分泌肿瘤转移至肺、纵隔和眼眶的病例。该病例强调了早期识别和优化管理对改善患者预后的重要性。因此,该病例的临床意义在于医生有必要了解和接受关于神经内分泌肿瘤诊断和管理的知识培训。

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本文引用的文献

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Orbital carcinoid metastases.眼眶类癌转移
Ophthalmology. 2006 Mar;113(3):466-72. doi: 10.1016/j.ophtha.2005.10.051. Epub 2006 Feb 3.
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Stage-dependent therapy of rectal carcinoid tumors.直肠类癌肿瘤的分期依赖性治疗
World J Surg. 1998 Jun;22(6):628-33; discussion 634. doi: 10.1007/s002689900445.
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Neuroendocrine carcinoma of the colon. Correct diagnosis is important.结肠神经内分泌癌。正确诊断很重要。
J Clin Gastroenterol. 1993 Dec;17(4):304-7. doi: 10.1097/00004836-199312000-00008.

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