肠道类癌起源于肠腺腺管基部的嗜银细胞,亦称嗜银细胞瘤。肠道类癌不是常见病,但也不罕见。我院近十年共收治消化道类癌7例,其中直肠类癌3例。因直肠类癌有其特殊性,本文重点讨论直肠类癌诊治的有关问题。 1 临床资料 例1,男,40岁。因腹泻、腹部不适就诊。内科建议做结肠镜检查,肠镜见肛管充血明显,直肠点片状充血,距肛缘约5cm右侧壁可见0.3×0.3cm两个半球状隆起,粘膜色泽稍苍白,表面光滑。乙状结肠色泽不均,血管纹理不清,粘膜隆起区取活检,病 Intestinal carcinoids originate from the basophilic argyrophilic cells at the base of the intestinal glands, also known as arginophil tumors. Carcinoid in the intestine is not a common disease, but it is not uncommon. In our hospital for the past ten years, we have treated 7 patients of digestive tract carcinoid, including 3 cases of rectal carcinoid. Due to its particularity in rectal carcinoids, this article focuses on the issues related to the diagnosis and treatment of rectal cancer. 1 Clinical data Example 1, male, 40 years old. Get medical attention for diarrhea and abdominal discomfort. Internal medicine recommended colonoscopy, colonoscopy see the anal canal congestion, rectal bloody spots, about 5cm from the anal margin of the right side of the wall can see 0.3 × 0.3cm two hemispherical uplift, mucosal color is a little pale, smooth surface. The color of the sigmoid colon is uneven, the texture of the blood vessels is unclear, and the biopsy of the mucosal uplift is taken.