Thompson G B, van Heerden J A, Martin J K, Schutt A J, Ilstrup D M, Carney J A
Surgery. 1985 Dec;98(6):1054-63.
One hundred fifty-four patients with gastrointestinal carcinoid tumors were surgically treated at our institution between 1972 and 1982. The most frequent primary sites were the ileum (43%), rectum (30%), appendix (11%), jejunum (6%), stomach (6%), and duodenum (1%). Asymptomatic tumors were discovered incidentally in 93 patients (60%). Symptomatic tumors were common (48%) among the group with ileal carcinoid tumors. Except for endoscopy, preoperative studies were of limited value. The malignant carcinoid syndrome was present in 12 patients (nine with ileal tumors). One hundred forty-seven patients underwent surgical or endoscopic resection of the primary tumor; the overall operative mortality rate was 2.6%. Of significance was the high incidence (18%) of metastasis from ileal primary tumors smaller than 1 cm.
1972年至1982年间，我院对154例胃肠道类癌肿瘤患者进行了手术治疗。最常见的原发部位是回肠（43%）、直肠（30%）、阑尾（11%）、空肠（6%）、胃（6%）和十二指肠（1%）。93例患者（60%）的肿瘤是偶然发现的，无症状。在回肠类癌肿瘤组中，有症状的肿瘤很常见（48%）。除内镜检查外，术前检查价值有限。12例患者出现恶性类癌综合征（9例为回肠肿瘤）。147例患者接受了原发性肿瘤的手术或内镜切除；总体手术死亡率为2.6%。值得注意的是，小于1厘米的回肠原发性肿瘤转移发生率很高（18%）。
