中国内镜杂志2016，Vol.22Issue(12)：85-89,5.DOI:10.3969/j.issn.1007-1989.2016.12.018
胃肠道神经内分泌肿瘤的内镜误诊体会
Experience of endoscopic diagnosis and treatment for gastrointestinal neuroendocriue tumor
摘要
Abstract
Objective To study the characteristics of endoscopic diagnosis and treatment for gastrointestinal neuroendocriue tumor (GI-NETs).Methods We retrospectively collected the clinical data of 84 patients with endoscopic confirmed GI-NETs from January 2012 to November 2014, including white light, endoscopic ultrasonography, histopathology and post-treatment condition.Results Endoscopic diagnosis for NET were 84 cases, but ifnally conifrmed by pathology were 72 cases, the misdiagnosis rate was 14.3%. Of the 12 misdiagnosed cases, 5 cases were chronic inlfammation, ectopic pancreas in 2 cases, and 5 cases of hyperplasia of Brunner's glands, colorectal hyperplastic polyps, colorectal venous hemangioma, colorectal leiomyoma, metastatic squamous carcinoma respectively. Of 8 cases with EUS, all lesions derived from the submucosal layer, and 6 cases of low echo, and 2 cases of high echo (Brunner's glands) and mixed echo (venous hemangioma) respectively.Conclusions GI-NETs,which possess certain characteristics under endoscopy, may be similar with other digestive diseases, while it can increase the diagnosis accuracy by more careful observation and necessary biopsy.关键词
胃肠神经内分泌肿瘤/超声内镜/内镜治疗/误诊Key words
gastrointestinal neuroendocriue tumor/endoscopic ultrasonography/endoscopic therapy/misdiagnosis分类
医药卫生引用本文复制引用
邓万银,梁玮,何利平,郑金辉,郑晓玲,杨士杰..胃肠道神经内分泌肿瘤的内镜误诊体会[J].中国内镜杂志,2016,22(12):85-89,5.基金项目
福建省卫生系统中青年骨干人才培养项目 （）
