摘要
目的:对胃肠胰神经内分泌肿瘤患者进行临床治疗分析。方法:回顾性总结我院收治的40例胃肠胰神经内分泌肿瘤患者资料,分析患者的临床表现、治疗方式、病理学特点及预后因素等。结果:40例患者中,有11例选择了内镜切除、2例补行外科手术、25例直接外科手术、1例患者放弃手术。术后随访:低级别类癌症恢复良好,通过内镜治疗有1例复发;高级别神经内分泌癌预后不良,复发率和转移率都比较高。结论:针对胃肠胰神经内分泌肿瘤应该以外科治疗为主要手段,可选择内镜治疗,但是手术前必须通过内镜超声或者CT影像做充分的评估。鉴于神经内分泌癌复发率和转移率比较高,而且预后差,应加强多学科联合治疗。
Objective： To gastrointestinal pancreatic neuroendocrine tumor patients clinical analysis.Methods： A retrospective summary were our forty cases of gastrointestinal pancreatic neuroendocrine tumor patient data,analysis of the patient’s clinical manifestations,treatment,and pathology features and prognosis factors.Results： Patients,there are 11 cases chose endoscopic resection,2 cases of surgical operation for,25 cases of direct surgery,1 patients give up surgery.Follow-up： lower cancer included good recovery,through the endoscopic treatment in 1 relapse.High level neuroendocrine carcinoma prognosis,recurrence and metastasis rate is higher.Conclusion： For gastrointestinal pancreatic neuroendocrine tumor should be based on surgical treatment as the main means,can choose endoscopic therapy,but before the operation must be through the endoscopic ultrasound or CT images do full evaluation.In view of neuroendocrine carcinoma recurrence and metastasis rate is higher,and the prognosis is poor,should strengthen the multidisciplinary combination therapy.
出处
《中国医药导刊》
2013年第8期1353-1353,1355,共2页
Chinese Journal of Medicinal Guide
关键词
神经内分泌肿瘤
胃肠胰
治疗
Neuroendocrine tumor
Gastrointestinal pancreatic
Treatment
