CAJ | 학술논문

胃肠道类癌的内镜下诊断与治疗
위장도유암적내경하진단여치료
Endoscopic diagnosis and treatment of gastrointestinal carcinoid: a report of 44 cases

万方数据

中华消化内镜杂志中華消化內鏡雜誌 중화소화내경잡지
CHINESE JOURNAL OF DIGESTIVE ENDOSCOPY
2010年 3期 138-141 ,共4页

程天明%郭文%陈雅华%白杨%智发朝%刘思德%陈村龙%潘德寿%周丹%肖冰%张亚历%姜泊

정천명%곽문%진아화%백양%지발조%류사덕%진촌룡%반덕수%주단%초빙%장아력%강박

类癌%内窥镜检查%诊断%治疗類癌%內窺鏡檢查%診斷%治療
유암%내규경검사%진단%치료
Carcinoid%Endoscopy%Diagnosis%Therapy

目的探讨内镜在胃肠道类癌诊断治疗中的作用.方法对44例病理确诊的胃肠类癌患者的内镜下诊断及治疗等资料进行回顾分析,总结其内镜下表现特点、治疗情况及随访结果.结果类癌患者常因腹痛和排便习惯改变就诊发现,部分为无症状查体发现.胃肠类癌多为黏膜下隆起病灶,Pit Ⅰ型;大的肿物可表现为息肉样,PitⅢ型;少数为恶性类癌,Pit Ⅴ型.29例行超声内镜检查,超声内镜下表现为低回声或低回声为主病变,边界清.内镜下高频电凝切除术治疗12例,内镜下黏膜切除术治疗32例.除1例恶性类癌诊断半年后全身转移死亡外,余43例内镜下切除治疗后随访3个月至5年无1例复发.结论胃肠类癌缺乏特异临床表现,内镜下可对胃肠道类癌进行诊断和治疗.
목적 탐토내경재위장도유암진단치료중적작용.방법 대44례병리학진적위장유암환자적내경하진단급치료등자료진행회고분석,총결기내경하표현특점、치료정황급수방결과.결과 유암환자상인복통화배편습관개변취진발현,부분위무증상사체발현.위장유암다위점막하륭기병조,Pit Ⅰ형;대적종물가표현위식육양,PitⅢ형;소수위악성유암,Pit Ⅴ형.29례행초성내경검사,초성내경하표현위저회성혹저회성위주병변,변계청.내경하고빈전응절제술치료12례,내경하점막절제술치료32례.제1례악성유암진단반년후전신전이사망외,여43례내경하절제치료후수방3개월지5년무1례복발.결론 위장유암결핍특이림상표현,내경하가대위장도유암진행진단화치료.
Objective To evaluate the endoscopic features and treatment of gastrointestinal carciholds. Methods Data of 44 patients diagnosed as gastrointestinal carcinoid from 2002 to 2009, including clinical manifestation, endoscopic findings, treatment and follow-up, were analyzed retrospectively. Results Most common presentations were abdominal pain and changes in bowel habits, while some patients (n = 7 ) did not have any symptoms. Most lesions were elevated submucosal ones with normal mucosal pit pattern of type Ⅰ . Larger lesions appeared as polyps with mucosal pit pattern of type Ⅲ and 1 malignant carcinoid as type Ⅴ. Endoscopic ultrasonography were performed in 29 patients and all lesions were presented as submucosal hypoechoic masses with distinct borders. Endoscopic fulguration with high frequency current was applied in 12 patients and endoscopic mucosal resection (EMR) in 32. One patient with malignant carcinoid accepted multiple EMRs and died from lung and liver metastasis 6 months after last procedure. No recurrence was observed in other 43 patients during the follow-up visit of 3 months to 5 years. Conclusion Gastrointestinal carcinoid is lack of specific symptoms, and the diagnosis is made by endoscopic and pathologic findings.