Pao-Huei C, Chuan-Pau S, Kuang-Yang L, Gonq-Chin H, Jean-Dean L, Hsian-Chong K, Ting-Yao C
Endoscopy. 1980 Nov;12(6):299-305. doi: 10.1055/s-2007-1021764.
Thirteen cases of carcinoid of the GI tract during eleven years seen in our hospital are presented. Prior to surgery, the clinical diagnosis of our 9 cases of gastric carcinoid was as follows: 7 cases were diagnosed as advanced gastric cancer, one case as perforated gastric ulcer, while a minute lesion of less than 1 cm in diameter was correctly diagnosed as a carcinoid. The tumors were all larger than 2 cm in the largest diameter with the exception of a minute lesion that appeared as a submucosal tumor and was diagnosed correctly before operation. Only one case of rectal carcinoid was diagnosed as a carcinoid endoscopically. The other two were diagnosed as rectal polyp and rectal cancer respectively. The lesion arising in the cecum was diagnosed as cecum tumor. The biopsy specimens of most carcinoids revealed adenocarcinoma pre-operatively, and only two cases were diagnosed correctly as carcinoid. In our series, we were unable to detect any symptom or sign of carcinoid syndrome, even in the case with widespread liver metastasis. We have not encountered any case of carcinoid in the appendix, which lesion has been very frequently reported in the Western countries.
本文报告了我院11年间收治的13例胃肠道类癌病例。术前，我院9例胃类癌的临床诊断情况如下：7例被诊断为进展期胃癌，1例为胃溃疡穿孔，而1例直径小于1 cm的微小病变被正确诊断为类癌。除1例表现为黏膜下肿瘤且术前被正确诊断的微小病变外，其余肿瘤最大直径均大于2 cm。仅1例直肠类癌经内镜诊断为类癌，另外2例分别被诊断为直肠息肉和直肠癌。发生于盲肠的病变被诊断为盲肠肿瘤。大多数类癌的活检标本术前显示为腺癌，只有2例被正确诊断为类癌。在我们的病例系列中，即使是在有广泛肝转移的病例中，我们也未检测到任何类癌综合征的症状或体征。我们未遇到阑尾类癌病例，而西方国家经常报道该部位的此类病变。
