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本文介绍1973~1982年10年内收治30例回肠类癌经验。17例伴有症状施行手术,13例经尸体解剖或剖腹探查中偶然发现。本病症状为不规则腹痛、急性肠梗阻和急性胃肠道出血。30例中伴发其它恶性肿廇14例,以结肠癌为常见,占8例,多发性类癌9例,这充分说明它具有并发其它恶性肿瘤和多中心倾向的特点。检查:能摸到下腹部肿块者5例,大便隐血试验阳性者6例。术前经各种检查拟诊为本病者仅有3例,提示术前明确诊断有一定的困难。发生回肠类癌综合征者5例,此5例典型综合症状如肝肿大、腹泻、皮肤发红、阵发性气管挛缓等,24小时尿查5-HAA(5-hydroxy indoleacetic acid)有明显增
This article describes the experience of treating 30 cases of ileal carcinoid in 10 years from 1973 to 1982. Twenty-seven patients were operated with symptoms and 13 were accidentally discovered during autopsy or laparotomy. The symptoms of the disease are irregular abdominal pain, acute intestinal obstruction and acute gastrointestinal bleeding. Among the 30 cases, 14 cases were associated with other malignant cysts, colon cancer was common, 8 cases, and 9 cases of multiple carcinoids, which fully demonstrated that it had other malignant tumors and multi-center tendencies. Examination: 5 cases who could touch the lower abdominal mass, and 6 cases who had positive stool occult blood test. Only 3 patients who were diagnosed as diagnosed as the disease before the operation through various examinations indicated that there was a certain difficulty in the preoperative diagnosis. There were 5 cases of ileal carcinoid syndrome. The 5 typical symptoms such as hepatomegaly, diarrhea, skin redness, paroxysmal trachea relief, etc., 24-hour urinalysis 5-HAA (5-hydroxy indoleacetic acid) Significant increase