Payne-James J J, de Gara C J, Lovell D, Silk D B, Misiewicz J J
J R Coll Surg Edinb. 1989 Apr;34(2):94-6.
A consecutive series of gastrointestinal carcinoid tumours presenting over a 3-year period at a district general hospital is reported. None were diagnosed at autopsy. Sites of origin from fore-, mid- and hind-gut were all represented. Sixty-three per cent of patients had tumour-related symptoms at presentation. Of these 90% had nodal metastases and 60% had liver metastases. Carcinoid syndrome developed in most patients with liver metastases. The presentation and management of carcinoid tumours is discussed.
本文报告了一家区综合医院在3年期间连续收治的一系列胃肠道类癌肿瘤病例。均非尸检诊断。前肠、中肠和后肠的原发部位均有病例。63%的患者就诊时出现肿瘤相关症状。其中90%有淋巴结转移,60%有肝转移。大多数肝转移患者出现类癌综合征。本文还讨论了类癌肿瘤的临床表现及治疗。