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自身免疫合并幽门螺杆菌相关性胃炎患者的多发胃肿瘤:1例报告及文献复习

Multiple gastric tumors in patients with combined autoimmune and helicobacter pylori-associated gastritis: a case report and literature review.

作者信息

Lin Wulian, Wu Cuiling, Xu Guilin, Yi Gaocheng, Zhang Guanpo, Li Haitao, Zheng Jin, Li Dazhou, Wang Wen

机构信息

Department of Gastroenterology, 900th Hospital of PLA Joint Logistic Support Force, Fuzhou, Fujian, China.

Fuzong Clinical Medical College of Fujian Medical University, Fuzhou, Fujian, China.

出版信息

Front Immunol. 2025 May 20;16:1562853. doi: 10.3389/fimmu.2025.1562853. eCollection 2025.

DOI:10.3389/fimmu.2025.1562853
PMID:40463379
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12129911/
Abstract

This paper presents four cases of autoimmune gastritis coexisting with Helicobacter pylori- associated gastritis, all of which developed gastric tumors, with some cases exhibiting multiple histological origins. Through a narrative literature review, we explore the potential mechanisms and clinical implications of tumor development in this context. This report emphasizes the significance of recognizing synergistic mucosal injury in chronic gastritis management and highlights the need for future studies into combined pathogenesis.

摘要

本文介绍了4例自身免疫性胃炎合并幽门螺杆菌相关性胃炎的病例,所有病例均发生了胃肿瘤,部分病例呈现多种组织学起源。通过叙述性文献综述,我们探讨了在这种情况下肿瘤发生的潜在机制和临床意义。本报告强调了在慢性胃炎管理中认识协同性黏膜损伤的重要性,并突出了未来对联合发病机制进行研究的必要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c3ea/12129911/276be2bdc8bc/fimmu-16-1562853-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c3ea/12129911/bb5ffdac8d53/fimmu-16-1562853-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c3ea/12129911/f772a1c19535/fimmu-16-1562853-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c3ea/12129911/e3d5f8947619/fimmu-16-1562853-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c3ea/12129911/276be2bdc8bc/fimmu-16-1562853-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c3ea/12129911/bb5ffdac8d53/fimmu-16-1562853-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c3ea/12129911/f772a1c19535/fimmu-16-1562853-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c3ea/12129911/e3d5f8947619/fimmu-16-1562853-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c3ea/12129911/276be2bdc8bc/fimmu-16-1562853-g004.jpg

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本文引用的文献

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American Association of Clinical Endocrinology Consensus Statement on Management of Multiple Endocrine Neoplasia Type 1.美国临床内分泌医师协会关于1型多发性内分泌腺瘤病管理的共识声明。
Endocr Pract. 2025 Mar 26. doi: 10.1016/j.eprac.2025.02.001.
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Effects and mechanisms of infection on the occurrence of extra-gastric tumors.感染对胃外肿瘤发生的影响及其机制。
World J Gastroenterol. 2024 Oct 7;30(37):4090-4103. doi: 10.3748/wjg.v30.i37.4090.
3
Unveiling Cancer-Related Metaplastic Cells in Both Helicobacter pylori Infection and Autoimmune Gastritis.
揭示幽门螺杆菌感染和自身免疫性胃炎中与癌症相关的化生细胞。
Gastroenterology. 2025 Jan;168(1):53-67. doi: 10.1053/j.gastro.2024.08.032. Epub 2024 Sep 3.
4
Global cancer statistics 2022: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries.2022 年全球癌症统计数据:全球 185 个国家和地区 36 种癌症的发病率和死亡率全球估计数。
CA Cancer J Clin. 2024 May-Jun;74(3):229-263. doi: 10.3322/caac.21834. Epub 2024 Apr 4.
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Diagnostic criteria and endoscopic and histological findings of autoimmune gastritis in Japan.日本自身免疫性胃炎的诊断标准及内镜和组织学表现。
J Gastroenterol. 2023 Mar;58(3):185-195. doi: 10.1007/s00535-022-01954-9. Epub 2023 Mar 1.
6
Rapid Progression of Autoimmune Gastritis after Helicobacter pylori Eradication Therapy.幽门螺杆菌根除治疗后自身免疫性胃炎的快速进展。
Intern Med. 2023 Jun 1;62(11):1603-1609. doi: 10.2169/internalmedicine.0533-22. Epub 2022 Oct 19.
7
Autoimmune Gastritis with a Long-term Course of Type B Gastritis: A Report of Two Cases.自身免疫性胃炎伴 B 型胃炎长期病程:两例报告。
Intern Med. 2023 Mar 15;62(6):855-863. doi: 10.2169/internalmedicine.0195-22. Epub 2022 Aug 10.
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Autoimmune gastritis: long-term natural history in naïve -negative patients.自身免疫性胃炎:初发阴性患者的长期自然病史。
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