Schmidt K R, Pfeifer K J, Spelsberg F
Strahlentherapie. 1977 Oct;153(10):668-73.
A report is given on two cases of metastasizing ileum carcinoid in which the arteriography of the superior mesenteric artery and the hepatic artery lead to a correct diagnosis while no clear result could be obtained by conventional X-ray examinations (gastrointestinal passage and Irigoscopy of the colon). In the first case, the vascular alterations in the lower ileum, combined with numerous hyper-vascularized metastases in the liver allowed to diagnose the primary tumor and to determine its type. In the second case, a correct diagnosis could be made alone bacuse of the specific vascular alterations indicating the carcinoid which was growing by infiltration (vascular star, missing parenchymatous charge, belated venous drainage, in the tumor region). In one case, a second primary tumor whose growth was accompanied only by little infiltration could be early diagnosed. All diagnoses were confirmed by surgical and anatomicopathological findings. In order to ameliorate the prognosis, bad until now, by an earlier diagnosis, arteriography should be used whenever a (metastasizing) small intestine carcinoid is suspected.
报告了两例转移性回肠类癌病例，其中肠系膜上动脉和肝动脉造影可得出正确诊断，而传统X线检查（胃肠道造影和结肠灌肠造影）未得出明确结果。在第一例中，回肠下段的血管改变，加上肝脏中大量血管丰富的转移灶，得以诊断原发性肿瘤并确定其类型。在第二例中，仅因特定的血管改变（肿瘤区域出现血管星、实质充盈缺失、静脉引流延迟）提示浸润性生长的类癌，从而做出了正确诊断。在一例中，早期诊断出了另一种生长仅伴有轻微浸润的原发性肿瘤。所有诊断均经手术及解剖病理结果证实。为改善目前一直很差的预后，应在怀疑（转移性）小肠类癌时使用动脉造影进行早期诊断。
