Tanahashi Y, Ohwada S, Takubo K, Miyamoto Y, Takeshita M, Uchida O, Ohtuka H, Izuo M
2nd Dept. of Surgery, Gunma Univ. School of Med.
Gan No Rinsho. 1990 Jul;36(8):929-33.
A 64-year-old man with an early carcinoma of the remnant stomach that developed from a gastritis cystica polyposa (GCP) is presented, and the morphology and histogenesis of this rare condition are discussed. This patient had a Billroth II reconstructed remnant stomach for 25 years, and was referred to our attention because of cholecystocholedocholithiasis. In screening an upper gastrointestinal barium study and an endoscopy revealed an irregular-shaped, flat, polypoid tumor in a stoma of the posterior wall. The resected polypoid lesion measured 4.5 x 3.0 cm. A histological examination revealed it to be a well differentiated adenocarcinoma of the mucosal layer that had developed from a GCP.
本文报告了一名64岁男性患者,其残胃癌由胃囊肿性息肉病(GCP)发展而来,属于早期癌,并对这种罕见疾病的形态学和组织发生学进行了讨论。该患者接受毕Ⅱ式重建残胃手术25年,因胆囊胆总管结石前来就诊。在上消化道钡餐检查及内镜筛查中,发现后壁吻合口处有一不规则形、扁平状息肉样肿瘤。切除的息肉样病变大小为4.5×3.0厘米。组织学检查显示为黏膜层高分化腺癌,由胃囊肿性息肉病发展而来。