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本文报告一例类癌综合征患者,女性,65岁,1968年入院。主诉餐后潮红七年,伴腿部麻木、头痛、口干、皮肤苍白、上身有块状红斑;水泻八个月,每天六次;左上腹膨胀,体重下降。检查确定肝左叶有巨大块物。剖腹探查,见原发病变在回肠距离盲肠38厘米处,系膜有2淋巴结转移,肝肿瘤色黄,为嗜银细胞肿瘤。按压肿瘤,患者出现潮红。手术切除远端回肠、阑尾、盲肠及升结肠的1/2,楔形切除部分肠系膜。肝转移类癌涉及二叶,未切除。
This article reports one case of a carcinoid syndrome, female, 65 years old, admitted to hospital in 1968. He complained of post-prandal flushing for seven years, with numbness in the legs, headache, dry mouth, pale skin, and erythema in his upper body; water diarrhea for eight months, six times a day; left upper abdomen bloated, weight loss. Check to determine the left hepatic lobe has a huge mass. For exploratory laparotomy, see primary lesions 38 cm from the ileum in the ileum, with 2 lymph node metastases in the mesentery and yellowish liver tumors, which are argyrophil cell tumors. Press the tumor and the patient appears flushed. Surgical removal of the distal ileum, appendix, caecum and 1/2 of the ascending colon, wedge-shaped part of the mesentery. Liver metastatic carcinoids involve two leaves that have not been removed.