Schumpelick V, Winkler R
Langenbecks Arch Chir. 1975 Jun 9;338(3):201-13. doi: 10.1007/BF01254353.
The pathologic, symptomatic, diagnostic and therapeutic characteristics of gastric neurinoma are demonstrated on the basis of 5 cases of the author's own case material. This rare gastric tumour accounts for 0.2% of all gastric tumours and has it's special importance for the diagnostic differentiation of gastric carcinoma and sarcoma. The maximum incidence is between age 50 to 60. Typical symptoms are acute gastro-intestinal bleeding, chronic gastric pain and palpable tumour in the epigastrium with relatively good general condition. Laboratory findings are not specific, X-ray examination and gastroscopy can be at best tentative. Resection is the therapy of choice, because potential malignancy accounts for 10 to 15% and the complications as bleeding and perforation can be dangerous. The prognosis is good even in cases of sole local excision, no recidives were found.
基于作者本人的5例病例资料，阐述了胃神经瘤的病理、症状、诊断及治疗特点。这种罕见的胃肿瘤占所有胃肿瘤的0.2%，在胃癌和肉瘤的诊断鉴别中具有特殊重要性。最高发病年龄在50至60岁之间。典型症状为急性胃肠道出血、慢性胃痛以及上腹部可触及肿块，且一般状况相对良好。实验室检查结果不具特异性，X线检查和胃镜检查充其量只能作为初步诊断。手术切除是首选治疗方法，因为潜在恶性率为10%至15%，出血和穿孔等并发症可能很危险。即使是单纯局部切除的病例，预后也良好，未发现复发情况。
