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内镜下诊治胃肠道类癌。经内镜检出胃肠道类癌１１例，内镜结合活检确诊８例，占７３％；误诊为直肠癌、横结肠癌、回肠息肉各１例，占２７．３％。本组１１例中经内镜高频电摘除病变者８例，３例病变小于１．０ｃｍ者定期内镜随访８～１６个月，未见复发；其余５例，３例补行局部楔形切除，２例行局部扩大切除术，术后标本均未发现残留类癌灶。３例误诊病例２例行局部扩大切除术，１例行胃次全切除术，术后病理确诊为类癌。经８个月～１３年追踪，全部患者均存活。表明消化道内镜检查配合活检是诊断和治疗胃肠道类癌的有效方法。
Endoscopic diagnosis and treatment of gastrointestinal carcinoid. Endoscopically detected 11 cases of gastrointestinal carcinoid, endoscopic biopsy confirmed 8 cases, accounting for 73%; misdiagnosed as rectal cancer, horizontal colon cancer, ileal polyps in 1 case, accounting for 27.3%. In this group of 11 cases, 8 cases underwent high-frequency endoscopic removal of lesions, 3 cases of lesions less than 1.0cm were regularly endoscopically followed up for 8 to 16 months, no recurrence; the remaining 5 cases, 3 cases of local wedge resection Two patients underwent local resection and no residual tumors were found in the specimens. In 3 cases of misdiagnosis, 2 cases underwent partial resection and 1 case underwent subtotal gastrectomy. The postoperative pathology was diagnosed as carcinoid. After 8 months to 13 years of follow-up, all patients survived. It shows that endoscopy with biopsy is an effective method to diagnose and treat gastrointestinal carcinoid.