论文部分内容阅读
目的 探讨直肠类癌的临床特点及合理的治疗方案。方法 通过我院收治直肠类癌6例的临床表现、治疗、随访结果并结合文献复习。结果 1.直肠类癌有症状者以便血便频多见。肿瘤外观呈黄色,位于粘膜下者触诊肿瘤较硬、孤立、光滑、可动为其特征。2.肿瘤≤1.5cm4例,行电灼切除术或经肛局切术,无复发及转移;肿瘤≥2cm2例,行腹会阴联合切除术(APR),一例于术后3个月盆腔复发。结论 1.直肠类癌一般较小、粘膜下生长,触诊肿块硬、孤立、光滑、可动感为其特征。2.肿瘤大小对判定其恶性程度及指导临床治疗是很重要的,肿瘤<2cm,可行局部切除术;肿瘤≥2cm、或伴有溃疡者宜行扩大根治术。
Objective To explore the clinical features and reasonable treatment of rectal carcinoid. Methods The clinical manifestations, treatment, follow-up results of 6 cases of rectal carcinoids were reviewed and reviewed in our hospital. Results 1. Symptoms of rectal carcinoids are more common in bloody stools. The appearance of the tumor is yellow, located in the submucosal palpation of the tumor is hard, isolated, smooth, movable characteristics. 2. Tumors ≤ 1.5cm in 4 cases, electrocautery resection or anal resection, no recurrence and metastasis; tumor ≥ 2cm2 cases, abdominal perineal resection (APR), a case of pelvic recurrence 3 months after surgery. Conclusion 1. Rectal carcinoid is generally small, submucosal growth, palpable lump stiffness, isolation, smooth, movability is its characteristics. 2. Tumor size is very important for judging the degree of malignancy and guiding clinical treatment. Tumor <2cm, feasible local resection; tumors ≥ 2cm, or with enlarged ulcers should be extended radical surgery.