Faust H, Hehne H J, Müller W
Radiol Clin (Basel). 1976;45(5):402-11.
The radiological workup of 15 patients with a carcinoid has been evaluated. As 7 of the 15 patients presented for emergency operation, only the remaining 8 had barium studies (7 barium meals and 1 barium enema). Two of the barium meals were even retrospectively, entirely negative. In two others, initially the diagnosis was missed despite radiological signs, which had been overlooked on follow-up films. Fluoroscopic examination of the small bowel would probably have ensured the detection of the lesion. At the time of diagnosis nine tenth of the tumours were already infiltrating and more than half of them metastasizing. The presence of the carcinoid syndrome implies the production of the causative hormones in the liver or the pulmonary circulation. In order to find the primary intestinal carcinoid in a cureable stage- that is, before it has metastasized-, all patients with diarrhoea and repeated bouts of abdominal pain should have a careful follow-up examination of the small bowel. This examination must include fluoroscopies.
对15例类癌患者的放射学检查进行了评估。由于15例患者中有7例需急诊手术，因此只有其余8例进行了钡剂检查（7例钡餐检查和1例钡灌肠检查）。其中2例钡餐检查即便回顾性分析也是完全阴性。另外2例，尽管有放射学征象，但最初诊断仍被漏诊，这些征象在随访片中被忽略了。小肠的荧光镜检查可能会确保病变的检出。在诊断时，十分之九的肿瘤已经浸润，其中一半以上已经转移。类癌综合征的存在意味着在肝脏或肺循环中产生了致病激素。为了在可治愈阶段——即在发生转移之前——找到原发性肠道类癌，所有腹泻和反复腹痛的患者都应接受小肠的仔细随访检查。这项检查必须包括荧光镜检查。
