Endoscopic diagnosis and treatment of gastrointestinal carcinoid: a report of 44 cases
10.3760/cma.j.issn.1007-5232.2010.03.007
- VernacularTitle:胃肠道类癌的内镜下诊断与治疗
- Author:
Tianming CHENG
;
Wen GUO
;
Yahua CHEN
;
Yang BAI
;
Fachao ZHI
;
Side LIU
;
Cunlong CHEN
;
Deshou PAN
;
Dan ZHOU
;
Bin XIAO
;
Yali ZHANG
;
Bo JIANG
- Publication Type:Journal Article
- Keywords:
Carcinoid;
Endoscopy;
Diagnosis;
Therapy
- From:
Chinese Journal of Digestive Endoscopy
2010;27(3):138-141
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the endoscopic features and treatment of gastrointestinal carciholds. Methods Data of 44 patients diagnosed as gastrointestinal carcinoid from 2002 to 2009, including clinical manifestation, endoscopic findings, treatment and follow-up, were analyzed retrospectively. Results Most common presentations were abdominal pain and changes in bowel habits, while some patients (n = 7 ) did not have any symptoms. Most lesions were elevated submucosal ones with normal mucosal pit pattern of type Ⅰ . Larger lesions appeared as polyps with mucosal pit pattern of type Ⅲ and 1 malignant carcinoid as type Ⅴ. Endoscopic ultrasonography were performed in 29 patients and all lesions were presented as submucosal hypoechoic masses with distinct borders. Endoscopic fulguration with high frequency current was applied in 12 patients and endoscopic mucosal resection (EMR) in 32. One patient with malignant carcinoid accepted multiple EMRs and died from lung and liver metastasis 6 months after last procedure. No recurrence was observed in other 43 patients during the follow-up visit of 3 months to 5 years. Conclusion Gastrointestinal carcinoid is lack of specific symptoms, and the diagnosis is made by endoscopic and pathologic findings.
