原名「台灣學術線上」
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項次 書目
1
題名:Carcinoid Tumors of the Appendix-Experience in a Teaching Hospital    
闌尾類癌的治療經驗
著者:Jiunn-Chang Lin(林俊昌) ;Tsang-Pai Liu(劉滄柏) ;Jee-Jen Lee(李居仁) ;Chien-Liang Liu(劉建良) ;Tsen-Long Yang(楊圳隆)
出版地區:台灣
出版城市:台北市
學科:醫學綜合
關鍵字:類癌 ; 闌尾 ; carcinoid tumor ; appendix
刊名:Journal of the Chinese Oncology Society
頁碼:17-20
語言:英語
摘要: 中文摘要PDF ; 英文摘要PDF

類癌(carcinoid tumor)有別於一般的癌症是因為它生長較緩慢,有較好的預後。在過去闌尾被認為是類癌最好發的位置,我們回溯性收集了從1995到2005年在我們醫院共施行了8961個闌尾切除手術,其中共有12例闌尾類癌,發生率佔0.13%,略低於過去文獻報告0.3-0.9%的發生率。同一時期我們醫院共有93個病人於不同部位發現有類癌,直腸是最好發的位置(60.2%),闌尾位居第二位(12.9%),這也有別於過去所認為闌尾是類癌最好發位置的觀念。這12例闌尾類癌因為都小於兩公分,都只單純接受闌尾切除手術,在平均追蹤5.6年的時間裡沒有復發的病例。值得注意的是有四個病人(33%)有伴隨著第二種腫瘤的發生,包括一例直腸癌,一例腎臟血管肌肉脂肪瘤,一例闌尾平滑肌瘤,以及一例子宮平滑肌瘤,所以在闌尾類癌治療後我們仍須留意第二種腫瘤的發生。
Carcinoid tumor is distinct from other malignancies because of its indolent behavior, so usually it has better survival. The appendix was considered to be the most common site of carcinoid tumor. We retrospectively reviewed 8,961 appendectomies in our hospital from 1995 to 2005, and 12 patients with appendiceal carcinoid tumors were identified. The incidence of appendiceal carcinoids in our hospital (0.13%) is lower than the reported incidence (0.3-0.9%) from western literatures. In the same period, 93 patients with carcinoid tumors in different organ system were also reviewed. The rectum (60.2%), rather than the appendix (12.9%), is the most common site of carcinoid tumors. All twelve patients with appendiceal carcinoid tumor received simple appendectomy because the size of tumors was smaller than 2cm. No recurrence was found during a mean follow up of 5.6 years. Notably, four patients (33%) were diagnosed with second neoplasm synchronously or metachronously, including rectal cancer, renal angiomyolipoma, appendiceal leiomyoma, and uterine leiomyoma. The possibility of a second neoplasm should be considered during follow up of patients with appendiceal carcinoid tumors.


    

本卷期目次
Journal of the Chinese Oncology Society
Treatment Outcome in Oropharyngeal Carcinoma-Preliminary Report/ Chih-Yung YangYi-Shing LeuJehn-Chuan LeeYi-Fang ChangMin-Jer HuangYu-Jen ChenHong-Wen ChenHung-Tao HsiaoChung-Ji Liu
Carcinoid Tumors of the Appendix-Experience in a Teaching Hospital/ Jiunn-Chang LinTsang-Pai LiuJee-Jen LeeChien-Liang LiuTsen-Long Yang
Transanal Local Excision of Rectal Malignant Neoplasms/ Wai-Hung LeungMing-Jen Chen
Local Anesthesia to Improve Postoperative Outcome for Breast Cancer Surgery: Preliminary Results/ Chung-Hsin TsaiYung-Wei HsuShih-Ping ChengChien-Liang LiuTsen-Long YangChun-Yueh LinYuan-Ching Chang
電腦刀立體定位放射性手術於治療第一型及第二型聽神經腫瘤之研究/ 林乾閔蔡若婷林牧熹林家瑋蘇鈺凱柯宗伯魏立邱文達張丞圭葉宜憲
家族性甲狀腺癌/ 鄭世平楊圳隆鄭國祥劉建良李居仁劉滄柏
影響臺灣地區非安寧照顧下進展性癌症病患認知預後的因素/ 陳貞秀劉莉妮徐翠霞蔣曉文雷靜怡唐秀治
原發性膽囊癌的臨床分析/ 陳志仁王蒼恩張文熊林錫泉白明忠李晉賢
A Case of Gastrointestinal Stromal Tumor (GIST) of Jejunum Presenting as Hollow Organ Perforation/ Shu-Hong ChuangHung-Bun LamChien-Liang Liu
A Disappearing Splenic Tumor on CT and MRI-A Case Report of Splenic Hamartoma/ Ming-Feng TsaiFei-Shih YangTsang-Pai LiuBe-Fong ChenTsang-En WangChien-Liang Liu
 
   
 
   

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