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本文报道22例直肠类癌,其中男性19例,女性3例。按Dukes分期,I期15例,Ⅱ期4例,见期2例,Ⅳ期1例。为提高对本病的诊断率,作者认为,对40岁以上出现不明原因的直肠肛管症状,应常规指检,对高度怀疑者,应经直肠针吸或活检,取材应有一定深度,以免误诊。直肠类癌的治疗应根据肿瘤的大小结合浸润的深度而定。直径<1cm行局部切除,1~2cm行局部扩大或广泛切除,>2cm或浸及肌层,应行根治性切除。伴肝转移者,应力争切除原发灶,同时经肝动脉插管行栓塞及化疗。
This article reports 22 cases of rectal carcinoid tumors, including 19 males and 3 females. According to Dukes’ staging, there were 15 cases in phase I and 4 in phase II. There were 2 cases in the stage and 1 case in the stage IV. In order to improve the diagnostic rate of the disease, the author believes that for patients with unexplained rectal anal canal symptoms above 40 years of age, routine examination should be performed. For those who are highly skeptical, rectal needles or biopsy should be performed. The material should have a certain depth to avoid Misdiagnosis. The treatment of rectal carcinoid tumors should be based on the size of the tumor combined with the depth of infiltration. Local resection with a diameter of <1 cm, partial or extensive resection of 1–2 cm lines, and dilation with muscles >2 cm or more should be performed. With liver metastases, stress to resection of primary lesions, while the hepatic artery catheter embolization and chemotherapy.