Beaton H, Homan W, Dineen P
Surg Gynecol Obstet. 1981 Mar;152(3):268-72.
The records of 59 patients with gastrointestinal carcinoid tumors at The New York Hospital from 1948 to 1978 were reviewed. Forty-seven instances were diagnosed surgically; 12 were identified on autopsy specimens. The average age at diagnosis was 55.8 years. No association with duodenal ulcer or carcinoma could be made. The appendix was the mose common site of origin, followed by the ileum, rectum and colon, respectively. Jejunoileal carcinoids were multiple in 37 per cent of the patients. Primary tumors of the colon had the highest malignant potential and only two patients had the malignant carcinoid syndrome. Radical excision of all primary tumors is advocated.
回顾了1948年至1978年纽约医院59例胃肠道类癌患者的记录。47例经手术诊断；12例在尸检标本中发现。诊断时的平均年龄为55.8岁。无法确定与十二指肠溃疡或癌有相关性。阑尾是最常见的起源部位，其次分别是回肠、直肠和结肠。空肠回肠类癌在37%的患者中为多发。结肠原发性肿瘤具有最高的恶性潜能，只有两名患者出现恶性类癌综合征。主张对所有原发性肿瘤进行根治性切除。
