Binstock A J, Johnson C D, Stephens D H, Lloyd R V, Fletcher J G
Department of Radiology, Mayo Clinic, 200 First St. S.W., Mayo E2-B, Rochester, MN 55905, USA.
AJR Am J Roentgenol. 2001 Apr;176(4):947-51. doi: 10.2214/ajr.176.4.1760947.
Our purpose is to describe associated and coexistent diseases of gastric carcinoid tumors, the unique biologic behavior of these tumors, the appearance of these tumors on fluoroscopic and CT images, and the radiologic management of these neoplasms.
First, multiple gastric carcinoid tumors are associated with enterochromaffin-like cell hyperplasia, chronic atrophic gastritis, and pernicious anemia and have a low risk of malignancy. Second, solitary gastric carcinoid tumors, or gastric carcinoid tumors associated with multiple endocrine neoplasia-type I (MEN-I) and Zollinger-Ellison syndrome, have a higher potential for metastatic disease. Third, the radiologic appearance and management of these tumors depend on the clinical background of the patient.
我们的目的是描述胃类癌肿瘤的相关疾病和并存疾病、这些肿瘤独特的生物学行为、这些肿瘤在荧光镜检查和CT图像上的表现以及这些肿瘤的放射学处理。
第一,多发性胃类癌肿瘤与嗜银样细胞增生、慢性萎缩性胃炎和恶性贫血相关,且恶性风险较低。第二,孤立性胃类癌肿瘤,或与多发性内分泌肿瘤I型(MEN-I)和佐林格-埃利森综合征相关的胃类癌肿瘤,发生转移的可能性更高。第三,这些肿瘤的放射学表现和处理取决于患者的临床背景。