On the clinical treatment of gastrointestinal carcinoid.docVIP

 PAGE \* MERGEFORMAT 9 On the clinical treatment of gastrointestinal carcinoid [Keywords:] the clinical treatment of gastrointestinal carcinoid Gastrointestinal carcinoid tumor is a class - a vicious group of pathological and biological behavior similar to the relative tendency of benign tumor, prevalence rate of about 1 / 10 million. Cent of all gastrointestinal carcinoid tumor is 0.05% to 0.20%, accounting for 0.40% of gastrointestinal cancer 1.80%. According to their origin, can be divided into foregut, midgut and hindgut. In addition from the foregut lung, bronchus, thyroid carcinoid, the rest occurred in the digestive tract, accounting for 85% of all carcinoid 90%. carcinoid metastasis and recurrence of potentially malignant and potential, can occur in any age, to 40 to 60 years more common, is a slow-growing, relatively low degree of malignancy of the tumor. 1. Endoscopic electrocautery resection of gastric and colorectal carcinoid tumors, diameter of less than lcm, limited to the mucosa, endoscopy or colonoscopy may be the line of local tumor resection or local mucosal resection, and then decide the next step under the treatment of pathological . but after endoscopic surveillance should be followed up regularly to prevent recurrence. 2. Local excision in the lower stomach and rectal carcinoid tumor diameter less than or equal to 2cm, no muscle invasion without lymph node metastasis, but also through the anus or sacral rectal cancer local excision, the tumor margin from the edge 2 ~ 3cm. However, due to anatomical limitations of local excision is often not enough, should be performed intraoperative frozen biopsy to prevent residual cancer. 3. Radical resection for tumor sizegt; 2cm, myometrial invasion or regional lymph node metastasis. While the upper rectum and colon carcinoid carcinoid tumors, diameter of more than lcm, radical surgery is appropriate in order to avoid the second operation carcinoid of the small intestine,