Storck M, Jauch K W, Wiebeke B, Denecke H
Chirurgische Klinik und Poliklinik, Ludwig-Maximilians-Universität München, Klinikum Grosshadern.
Chirurg. 1991 Apr;62(4):284-8.
Carcinoid tumors of the stomach are rare (0.4% of all malignancies of the stomach). Long-lasting hypergastrinemia, most often due to chronic atrophic gastritis, leads to hyperplasia of ECL-cells in the gastric fundic mucosa with consequent dysplasia or neoplasia. Between 1974 and 1988 four patients underwent surgical treatment after diagnosis of a gastric carcinoid tumor. One patient was treated by local excision, two by subtotal resection and one patient underwent complete gastrectomy. None of the patients had local or distant metastases or died in the follow-up period due to tumor progression. The different approaches to surgical therapy are discussed.
胃类癌肿瘤很罕见（占所有胃癌的0.4%）。长期高胃泌素血症，最常见于慢性萎缩性胃炎，导致胃底黏膜嗜铬样细胞（ECL细胞）增生，进而发生发育异常或肿瘤形成。1974年至1988年间，4例患者在诊断为胃类癌肿瘤后接受了手术治疗。1例患者接受局部切除，2例接受次全切除，1例接受全胃切除术。所有患者在随访期间均无局部或远处转移，也未因肿瘤进展而死亡。本文讨论了手术治疗的不同方法。
