Frappart L, Berger G, Patricot L M, Butin J, Feroldi J
Sem Hop. 1979;55(35-36):1645-7.
We report a case of micro-gastrinoma associated with a duodenal ulcer. This ulcer was severe and a gastrectomy (Finsterer) was performed. Pathologic examination showed a "carcinoid islet cell-tumor" with argyrophil granules in the cells' cytoplasme and ultrastructural studies confirmed neurosecretory granules with dense central core. Using the immunofluorescence and immunoperoxydase technic with several anti sera against polypeptide hormones we were able to show it was a pure gastrinoma. We presume this association is a new entity in gastrin-cells pathology.
我们报告一例与十二指肠溃疡相关的微小胃泌素瘤病例。该溃疡严重,遂行胃切除术(芬斯特勒术式)。病理检查显示为“类癌胰岛细胞瘤”,细胞胞质内有嗜银颗粒,超微结构研究证实存在具有致密中心核的神经分泌颗粒。运用免疫荧光和免疫过氧化物酶技术,使用多种针对多肽激素的抗血清,我们得以证实其为纯胃泌素瘤。我们推测这种关联是胃泌素细胞病理学中的一种新情况。