The endoscopic diagnosis, treatment and prognosis analysis of 72 cases of gastrointestinal carcinoid tumors
10.3760/cma.j.issn.0254-1432.2012.02.004
- VernacularTitle:胃肠道类癌72例内镜下诊治与预后分析
- Author:
Danyu ZHAO
;
Xing CHEN
;
Yan KANG
- Publication Type:Journal Article
- Keywords:
Carcinoid tumor;
Gastrointestinal neoplasms;
Endoscopy;
Gastric mucosa;
Intestinal mucosa;
Prognosis
- From:
Chinese Journal of Digestion
2012;32(2):85-89
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore endoscopic diagnosis,treatment,pathological features and prognosis of gastrointestinal carcinoid tumors.Methods Retrospective analysis of 72 cases of gastrointestinal carcinoid tumors which were endoscopically diagnosed,treated,pathologically confirmed and followed up from July 2004 to July 2010 in Shanxi Provincial People' s Hospital.Common endoscopic diagnosis,endoscopic ultrasound(EUS)diagnosis,pathological features,treatment and prognosis were summarized.Results Twenty six cases of upper gastrointestinal carcinoid tumors and 46 cases of lower gastrointestinal carcinoid tumors were diagnosed and followed up.A total of 65 cases were single carcinoid and 7 were multiple carciniods.Tumors were mostly yellowish hard nodules with limited range of movement.EUS showed uneven hypoechoic nodules in the submucosal layer.Fifty-one cases of single carcinoid tumor were successfully treated with endoscopic mucosal resection(EMR)or endoscopic submucosal dissection(ESD)and the cure rate was 96.2％(51/53).Three cases of multiple carciniods were cured with EMR and the cure rate was 3/7.There was no tumor recurrence after treatment during follow-up.Conclusions Endoscopy examination is an important way to detect early carcinoid tumors.Endoscopic ultrasound probe can further clarify source and level of the lesion,and provide the basis for the endoscopic therapy.EMR and ESD are the preferred radical treatment for early carcinoid tumors.
