查詢結果分析
相關文獻
- Colorectal Carcinoid Tumors--Prognostic Factors and Treatment
- Prognostic Factors for Colorectal Carcinoids
- Rectal Carcinoio
- 臨床病理討論會﹣﹣直腸類癌
- Colonoscopic Resection of Carcinoid Tumor in Low Rectum after Endoscopic Hemorrhoid Ligation Banding
- 直腸類癌(carcinoid tumor of the rectum)-10例之臨床治療經驗
- Rectal Carcinoid Tumor: Treatment and Long-Term Outcome in 30 Cases
- Endoscopic Resection of a Rectal Carcinoid Tumor with an Esophageal Variceal Ligation Device--Report of a Case and Literature Review
- 直腸類癌
- 喉部的非典型類癌--病例報告
頁籤選單縮合
題名 | Prognostic Factors for Colorectal Carcinoids=大腸直腸類癌的預後分析 |
---|---|
作者姓名(中文) | 陳柏全; 李政昌; 林博文; 林劭潔; | 書刊名 | 中華民國大腸直腸外科醫學會雜誌 |
卷期 | 24:3 2013.09[民102.09] |
頁次 | 頁65-71 |
分類號 | 416.245 |
關鍵詞 | 大腸直腸類癌; 類癌; 直腸類癌; Colorectal carcinoid; Carcinoid tumor; Rectal carcinoid; |
語文 | 英文(English) |
中文摘要 | 目的:我們進行院內的病歷回顧,並分析治療結果。方法:我們總共分析了18年內27個接受腫瘤切除的病人。比較分析包括病人的腫瘤大小、腫瘤位置、疾病分期、腫瘤切除方式、無病存活和總存活期。結果:病人的總存活及無病存活月數各別為88.9%及80.9%。腫瘤大於一公分或源自於大腸,較容易出現淋巴或遠處轉移(p=0.0006和0.03)。直腸類癌、較早疾病期別(第一、二期)、或腫瘤小於(等於)一公分都有較好的5年無病及總存活期。對於可完整切除的類癌,內視鏡切除或手術切除兩者對存活期的影響並無差異。結論:直腸類癌的發生率比大腸類癌高得多,且多半體積較小,也不容易出現轉移病灶。腫瘤若大於一公分,病人較容易出現轉移病灶,且無病存活及總存活期會顯著惡化。對於腫瘤較小的類癌,內視鏡切除或手術局部切除是合適的。 |
英文摘要 | Purpose. To investigate the treatment outcome of colorectal carcinoids in an institution over an 18-year time period.Materials and Methods. We performed a retrospective chart review of all the carcinoid tumors originating from the colon and rectum from January 1992 to December 2009. A total of 27 patients were included in the study. The patient's age, gender, tumor size, tumor location, disease stage, and management methods were recorded. All patients were treated using R0 tumor resection either by radical operation, wide local excision, or endoscopic excision. Disease-free and overall survival rates were compared on the basis of the tumor size, clinical stage, tumor location, and resection methods.Results. The five-year overall and disease-free survival rates were 88.9% and 80.9%, respectively. For tumors larger than 10 mm or of colonic origin, there was a significant increase in the incidence of lymph node or distant metastasis (p=0.0006 and p=0.03, respectively). Patients with a tumor size ≤ 10 mm had better 5-year disease-free and overall survival rate (p=0.001 and p=0.009, respectively), as did patients with rectal carcinoids (p=0.006 and p<0.001, respectively). Patients at an early stage, according to American Joint Committee on Cancer (AJCC) staging system (stage I and II), had a better 5-year disease-free and overall survival rates compared with those at an advanced stage (stage III and IV) (p<0.0001). For patients who underwent R0 resection with an adequate safety margin, neither surgery nor endoscopy could influence the 5-year disease-free or overall survival (p>0.05).Conclusions. The incidence of rectal carcinoids is much higher in this series than that of the colonic carcinoids. Compared with colonic carcinoids, rectal carcinoids tend to be smaller and rarely metastasize. Patients with a tumor size ≥ 10 mm have a significantly higher incidence of metastasis and poorer disease-free and overall survival rates. Endoscopic resection or wide local excision is adequate to treat small-sized carcinoids. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。