Yamagiwa H
Department of Clinical Pathology, Mie University School of Medicine, Tsu.
Rinsho Byori. 1990 Dec;38(12):1387-91.
Sixty-five cases of aberrant pancreas in the gastric wall in 9,650 resected stomach were investigated clinicopathologically. Average age was 44.5 and male to female ratio was 3.5 to 1. Eighty-eight per-cent of the lesions were found in the pylorus and antrum, and the lesions were frequently found in the posterior wall, anterior wall and greater curvature. The size of the lesions varied from 0.7 cm to 4.5 cm in diameter and 89.1% of them were within 3 cm in diameter. The protruded lesions were usually found in the space between submucosa and propria muscularis, and the flat-elevated ones were frequently found in the space between propria muscularis and subserosa. The histological incidence of Heinrich type I, II and III were 38.8%, 52.2% and 9.0%, respectively. There was no case of malignant change in the present series.
对9650例切除胃标本中的65例胃壁内异位胰腺进行了临床病理研究。平均年龄为44.5岁，男女比例为3.5:1。88%的病变位于幽门和胃窦，且病变常见于后壁、前壁和大弯侧。病变大小直径从0.7 cm至4.5 cm不等，其中89.1%直径在3 cm以内。突出型病变通常位于黏膜下层与固有肌层之间，扁平隆起型病变常见于固有肌层与浆膜下层之间。海因里希I型、II型和III型的组织学发生率分别为38.8%、52.2%和9.0%。本系列中无恶变病例。
