类癌是一种低度恶性生长缓慢的肿瘤,在有转移后可以出现类癌综合征,造成进行性的心脏损害和死亡。类癌综合征的临床表现包括腹部绞痛,水样腹泻,全身性虚弱,躯干上部与面部发红,呼吸困难,以及右心内膜病变而右心衰竭。作者报导两例成功的经验,都是原发于迴肠的类癌,有肠系膜淋巴结及肝内转移。由于症状不能控制都进行了右半结肠切除和肝叶切除,术后分别随诊12个月与4个月,症状未再复发。作者主张对于症状不能用药物控制的病人进行积极的手 Carcinoid is a type of low-grade, low-growth tumor that can develop carcinoid syndrome after metastasis, resulting in progressive heart damage and death. The clinical manifestations of carcinoid syndrome include abdominal cramps, watery diarrhea, systemic weakness, upper redness of the trunk and face, difficulty breathing, right heart endocardial lesions and right heart failure. The authors report two successful cases of primary carcinoids in the ileum with mesenteric lymph nodes and intrahepatic metastases. The right hemicolectomy and hepatectomy were performed because the symptoms could not be controlled. After 12 months and 4 months of follow-up, the symptoms did not recur. The author advocates aggressive hands for patients whose symptoms cannot be controlled with medications