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分析1960～1985年22例胃肠道类癌病例,提出改进诊断和治疗方法的意见。本文资料表明直肠类癌发病率较高,腹泻、便血、腹痛为最常见症状。本病诊断困难,提高对本病形态学和多发性特点的认识,注意共存病变,重视首次活检技术,有助于提高诊断率。按不同部位、肿瘤大小、浸润程度,选择适当的手术方法,可望提高治疗效果。就类癌病理特点对转移性类癌和兰尾类癌提出合理的治疗意见。术后化疗和加强随访能提高生存期。
Analyze 22 cases of gastrointestinal carcinoid from 1960 to 1985, and put forward suggestions for improving diagnosis and treatment methods. This article shows that the incidence of rectal carcinoid is higher, diarrhea, blood in the stool, abdominal pain is the most common symptoms. The diagnosis of the disease is difficult, to improve the understanding of the morphological and multiple characteristics of this disease, pay attention to complications, and pay attention to the first biopsy technology, help to improve the diagnostic rate. According to different parts, tumor size, degree of infiltration, select the appropriate surgical methods, is expected to improve treatment. On the pathological features of carcinoid tumors for metastatic carcinoid and blue-tailed carcinoid put forward a reasonable treatment. Postoperative chemotherapy and enhanced follow-up can improve survival.