Christensen M, Bülow S
Hvidovre hospital, kirurgisk gastroenterologisk afdeling.
Ugeskr Laeger. 1998 Aug 3;160(32):4605-9.
The article gives a review of the literature concerning carcinoid tumours of the colon and rectum. Carcinoid tumours of the rectum are more common than of the colon, although these tumours are rarities. The carcinoid tumour grows slowly and the patients can survive for years with the disease. Treatment of the rectal carcinoid depends on the size and invasiveness of the primary tumour, as a non-invasive tumour less than 2 cm in diameter can be locally excised. For carcinoids of the colon, the treatment of tumours of less than 2 cm and without invasion will be local excision. For larger and/or invasive tumours in both colon and rectum the treatment is resection. The prognosis for colonic carcinoids is worse than for rectal carcinoids. Adjuvant treatment forms are briefly described. Follow-up programmes for these patients are generally long (over five years) and include recto-/colonoscopy, and search for metastatic spread.
本文对有关结肠和直肠类癌肿瘤的文献进行了综述。直肠类癌肿瘤比结肠类癌肿瘤更常见,不过这些肿瘤都很罕见。类癌肿瘤生长缓慢,患者可带病存活数年。直肠类癌的治疗取决于原发肿瘤的大小和侵袭性,直径小于2厘米的非侵袭性肿瘤可进行局部切除。对于结肠类癌,直径小于2厘米且无侵袭的肿瘤的治疗方法是局部切除。对于结肠和直肠中较大和/或有侵袭性的肿瘤,治疗方法是切除。结肠类癌的预后比直肠类癌差。文中简要描述了辅助治疗形式。这些患者的随访计划通常很长(超过五年),包括直肠/结肠镜检查以及寻找转移扩散情况。