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目的探索直肠类癌的诊断和治疗方法。方法结合文献回顾性分析我院2001—2006年经病理证实的10例直肠类癌的临床资料。结果 8例直径<2cm经肛门局部切除术后经6个月～5年随访无一例复发或转移;1例直径>2cm者行根治性手术,术后3年未复发;2例发现直肠类癌时已有肝转移灶,1例随访2.5年无复发或转移;1例直肠多发类癌行根治性手术随诊2年无复发或转移。结论直肠类癌应早期诊断,早期治疗,对于不同大小的肿瘤,应采取不同的手术方法。
Objective To explore the diagnosis and treatment of rectal carcinoid. Methods The clinical data of 10 cases of rectal carcinoid confirmed by pathology in our hospital from 2001 to 2006 were retrospectively analyzed. Results No recurrence or metastasis was found in 8 cases with diameter less than 2cm after partial anal resection after 6 months to 5 years of follow-up; 1 case with diameter >2cm underwent radical surgery and no recurrence after 3 years; rectal carcinoid was found in 2 cases. There were liver metastases, one case had no recurrence or metastasis at 2.5 years of follow-up, and one case of radical rectal cancer followed up for 2 years without recurrence or metastasis. Conclusion Rectal carcinoid should be diagnosed early and treated early. Different surgical methods should be adopted for tumors of different sizes.