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胃肠道类癌肿瘤(作者译)

[Carcinoid tumors of the gastro-intestinal-tract (author's transl)].

作者信息

Meffert O, Heymann H, Burow B, Putzki H, Jung D

出版信息

Z Gastroenterol. 1982 Apr;20(4):206-12.

PMID:7080571
Abstract

The prognosis of carcinoid tumors of the Gastro-Intestinal Tract (GIT) is determined by the site and size of the tumors. Carcinoid of the vermiform appendix and the rectum cause early symptoms making early diagnosis and treatment relatively easy. The 5-year-survival rate is 99% and 83% respectively. Carcinoid tumors involving the stomach and the colon with 5-year-survival rates of 52% and 53% respectively have an unfavourable prognosis. In between is the carcinoid tumor of the small intestine with a survival rate of 60%. Tumors with diameter less than 2 cm can be excised locally. Bigger tumors--as a rule--must be managed according to the principles of tumor surgery. The operative treatment of metastasis improves the prognosis especially of small intestine carcinoids. One should endeavor to remove also metastasis of carcinoid tumors of other localizations.

摘要

胃肠道类癌肿瘤的预后取决于肿瘤的部位和大小。阑尾和直肠类癌会引起早期症状,使得早期诊断和治疗相对容易。其5年生存率分别为99%和83%。累及胃和结肠的类癌肿瘤,5年生存率分别为52%和53%,预后不佳。小肠类癌肿瘤的生存率介于两者之间,为60%。直径小于2厘米的肿瘤可以进行局部切除。较大的肿瘤通常必须按照肿瘤外科手术的原则进行处理。转移灶的手术治疗可改善预后,尤其是小肠类癌。对于其他部位的类癌肿瘤转移灶,也应尽力予以切除。

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Rectal carcinoids: the most frequent carcinoid tumor.直肠类癌:最常见的类癌肿瘤。
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[Surgical problems of gastro-intestinal tract carcinoids].[胃肠道类癌的外科问题]
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