摘要
目的探讨十二指肠类癌的诊断及治疗方法。方法回顾性分析2000年1月～2007年8月收治的4例十二指肠类癌并复习国内近7年10篇文献报道的29例病例资料。结果诊断方法主要为胃镜、超声检查、电子计算机扫描X线体层摄影、磁共振、上消化道造影等,确诊需要病理学诊断,多需要免疫组织化学帮助。本组中行内镜下切除4例,手术局部切除4例,十二指肠肠段切除8例,胰头十二指肠切除11例。结论治疗主要以手术为主,选择局部切除、十二指肠肠段切除及胰头十二指肠切除等术式。对中晚期或广泛转移的患者可采用联合化疗。药物治疗主要是尽可能减少具有生物活性胺类物质的分泌,缓解、控制类癌综合征的发生,减轻肿瘤的生物化学作用。
Objective To investigate the diagnosis and treatment of dodecadactylon carcinoid. Methods Four cases of dodecadactylon carcinoid treated in our hospital from Jan 2000 to Dec 2007 and 29 cases reported in the last 7 years in domestic literature were analyzed retrospectively. Results Dodecadactylon carcinoid was diagnosed mainly by gastroscope, ultrasonography （US）, computerized tomography （ CT）, magnetic resonance imaging （MRI） and upper gastrointestinal opacification. All the patients underwent surgery, including endoscope resection in 4 cases（4/33） ; ocal excision in 4 cases（4/33） ; Duodenum intestines section excision in 8 cases（8/33） and Whipple＇s operation in 11 cases（11/33）. Conclusion Treatments are mainly surgery,include local excision,duodenum section excision and pancreatoduodenectomy and so on. The union chemotherapy is used to the mid and late stage or the widespread metastasis patient. The medicine treatment mainly reduces secretion of amines which has the biological activity, alleviates or controls the carcinoid syndrome occurrence and reduces the biochemical action of tumor.
出处
《河北医科大学学报》
CAS
2008年第5期672-674,共3页
Journal of Hebei Medical University
关键词
十二指肠
类癌瘤
诊断
治疗
duodenum
carcinoid tumor
diagnosis
therapy
