姚光宇, 巴一. 肠道神经内分泌肿瘤临床分析[J]. 中国肿瘤临床, 2014, 41(8): 522-525. DOI: 10.3969/j.issn.1000-8179.20132053
引用本文: 姚光宇, 巴一. 肠道神经内分泌肿瘤临床分析[J]. 中国肿瘤临床, 2014, 41(8): 522-525. DOI: 10.3969/j.issn.1000-8179.20132053
YAO Guangyu, BA Yi. Clinical analysis of intestinal neuroendocrine tumors[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2014, 41(8): 522-525. DOI: 10.3969/j.issn.1000-8179.20132053
Citation: YAO Guangyu, BA Yi. Clinical analysis of intestinal neuroendocrine tumors[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2014, 41(8): 522-525. DOI: 10.3969/j.issn.1000-8179.20132053

肠道神经内分泌肿瘤临床分析

Clinical analysis of intestinal neuroendocrine tumors

  • 摘要:
      目的   探讨肠道神经内分泌肿瘤临床病理特点及治疗、生存情况。
      方法   回顾性分析82例肠道神经内分泌肿瘤的临床及病理资料。
      结果   全组男女患者比例为1.41:1,平均年龄(48.72±13.26)岁,其中神经内分泌瘤72例,神经内分泌癌7例,混合性腺神经内分泌癌3例。直肠为最常见原发部位,主要临床表现为腹痛、排便异常。全组患者5年生存率为78%,神经内分泌瘤患者5年生存率为80%。不同组织学类型的肠道神经内分泌肿瘤患者原发部位、pT分期、淋巴结和远处转移情况的差异均有统计学意义(均P<0.05)。肠道神经内分泌肿瘤的转移与pT分期、病理学类型、年龄、原发部位有关(均P<0.05)。多因素Logistic回归分析的结果显示,肿瘤发病年龄是发生转移的重要因素。
      结论   肠道神经内分泌肿瘤多发于男性,直肠最多见。肿瘤的发病年龄是影响肠道神经内分泌肿瘤转移的重要因素。

     

    Abstract:
      Objective  To analyze the clinico-pathological features of intestinal neuroendocrine tumors (NET), as well as the treatment protocols and survival of intestinal NET patients.
      Methods  Clinico-pathological features of 82 intestinal NET patients were retrospectively reviewed.
      Results  The male to female ratio was 1.41:1 in the group of patients, and the mean age was 48.72±13.26. Up to 72 cases were NET, 7 were neuroendocrine cancer, and 3 were mixed adeno-neuroendocrine carcinoma. The most commonly observed organ exhibiting primary lesion of the tumors was the rectum. The overall five-year survival rates were 78% and 80% among all the patients and among the NET patients, respectively. Tumors of different histological types demonstrated statistically significant differences in terms of primary site, pT stage, and metastasis (P<0.05). The pT stage, histological classification, age, and primary site of the tumors were associated with the metastasis of the intestinal NETs (P<0.05). Age was the main risk factor of metastasis in the tumors.
      Conclusions  Intestinal neuroendocrine neoplasms usually occur in males, and the most commonly involved organ is the rectum. Age is an important factor of neuroendocrine tumor metastasis.

     

/

返回文章
返回