秦月芬 傅志君 秦月芬(214008江苏省无锡市崇安人民医院内科)；傅志君(上海医科大学中山医院消化科) 中华消化内镜杂志 2000 0 17 3


    关键词：直肠类癌；良性；恶性 期刊 zhxhnjzz 0 144-146 论著 fur -->


    

【摘要 】目的探讨直肠类癌良、恶性表现的临床特征。方法将30例患者按有无转移分成良、恶性两组，分析比较两组患者的临床表现、肿瘤的部位、大小、表面情况、浸润程度、组织分化程度、治疗效果。结果两组患者在年龄、性别比例、临床主诉等方面比较均无明显差异。良性组25例，肿瘤均≤2cm，肿瘤表面光滑者占92%，局限于粘膜下层者占96%，无低分化类癌。恶性组5例，肿瘤均>2cm，肿瘤表面形成溃疡和呈菜花状各3例，全部浸润至浆膜层，低分化类癌3例。良性组作肿瘤局部切除，恶性组作根治术治疗。结论恶性直肠类癌常>2cm，表面形成溃疡，肿瘤浸润至浆膜层，组织分化程度较差。良性类癌常≤2cm、表面光滑，肿瘤局限于粘膜下层。

Rectal carcinoid

QIN Yuefen

    ( Chong'an Hospital, Wuxi 214008,China )

    FU Zhijun

    ( Chong'an Hospital, Wuxi 214008,China )

【Abstract 】 Objective The clinical features of benign and malignant rectal carcinoid were analysed. Methods 30 patients with rectal carcinoid were included and categorized into benign (without metastasis , n=25) and malignant (with matastasis , n=5) groups. The clinical presentation, site, size, outlook, depth of infiltration , cell differentiation and result of treatment were compared. Results No difference was traced in age, sex and chief complaint. Of benign growth the most confined within submucosa (96 %) with a smooth outlook (92 %), meanwhile all had a size less than 2 cm in diameter with well differentiation in cells. While with metastasis the tumor grew larger than 2 cm with ulcerated surface (like cauliflower in 3 instances) and serosal invasion as well as poor differentiation (3 cases). Statistical significance existed between the two groups when compared. Conclusion Malignancy should be considered if the carcinoid is larger than 2 cm in size, ulcerative in appearance, infiltrated to serosa and poorly differentiated.

     【Key words 】 Rectal carcinoid;Benign;Malignant

类癌是一种生长缓慢、具有潜在恶性的肿瘤 ......

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