Sutter P M, Canepa M G, Kuhrmeier F, Marx A, Martinoli S
Reparto di Chirurgia, Ospedale Civico, Lugano.
Schweiz Med Wochenschr Suppl. 1997;89:20S-24S.
Meckel's diverticulum is the most common anomaly of the gastrointestinal tract. Neoplasms are extremely rare. We report a case of carcinoid tumor of Meckel's diverticulum in a patient with acute abdominal pain. So far, 111 cases have been reported. Review of the literature reveals that carcinoids are the most common malignant tumors of Meckel's diverticulum. Two thirds of the patients remain asymptomatic. Metastases are seen in 25% at diagnosis. The probability of metastases depends on the size of the primary tumor. Because of the early metastases rate even in small tumors, aggressive surgical management is justified.
梅克尔憩室是胃肠道最常见的先天性异常。肿瘤极为罕见。我们报告一例患有急性腹痛的患者发生梅克尔憩室类癌肿瘤的病例。迄今为止，已报告111例。文献回顾显示，类癌是梅克尔憩室最常见的恶性肿瘤。三分之二的患者无症状。25%的患者在诊断时已有转移。转移的可能性取决于原发肿瘤的大小。由于即使是小肿瘤也有较高的早期转移率，积极的手术治疗是合理的。
