Matsubayashi Hiroyuki, Takagaki Shinichi, Otsubo Takao, Iiri Takao, Kobayashi Yuka, Yokota Takashi, Shichijo Kimitoshi, Tada Tetsuya, Satoh Keiichi, Iwafuchi Mitsuya
Department of Gastroenterology, Tachikawa General Hospital, Nagaoka, 3-2-11, Kandachou, Nagaoka, Niigata 940-8621, Japan.
Gastric Cancer. 2000 Dec;3(4):226-233. doi: 10.1007/pl00011721.
Primary gastric endocrine cell carcinoma (ECC) is extremely rare. In general, when it is advanced, gastric ECC causes extensive ulceration (type 2) and invades or metastasizes to other organs, frequently to the liver and sometimes to the lungs or bones, and carries a poor prognosis. We herein report a 67-year-old man with advanced gastric ECC of extensive-polypoid shape (type 1) but without distant metastasis, who underwent total gastrectomy and treatment with oral tegafur-uracil (UFT), and showed no sign of recurrence 1 year later.
原发性胃内分泌细胞癌（ECC）极为罕见。一般来说，进展期胃ECC会导致广泛溃疡（2型），并侵犯或转移至其他器官，常见转移至肝脏，有时也会转移至肺或骨骼，预后较差。我们在此报告一名67岁男性，患有广泛息肉样形态（1型）的进展期胃ECC，但无远处转移，该患者接受了全胃切除术并口服替加氟-尿嘧啶（UFT）治疗，1年后未出现复发迹象。
