Koppe P, Kühne-Heid R, Krause U
Dtsch Z Verdau Stoffwechselkr. 1985;45(6):261-8.
A 59-years old woman showed 5 years after the diagnosis of a sarcoidosis of stage II--III according to Wurm and Reindell an abdominal symptomatology in the sense of an ulcerous disease. Radiological, endoscopical and bioptical examinations revealed a small contraction of the antrum, an ulcus at first diagnosed as benign and an adenocarcinoma. In the resected part of the stomach were found noncaseating granulomas with Epithelioid cells and Giant cells as well as the adenocarcinoma. 1 1/2 years after partial resection of the stomach (B II) a recurrence of the carcinoma near the anastomosis and metastases in the lymphonoduli of the abdomen were found by autopsy. Thoracic of abdominal manifestations of the sarcoidosis could no longer be demonstrated.
一名59岁女性在根据武尔姆和赖德尔标准诊断为II - III期结节病5年后，出现了类似溃疡性疾病的腹部症状。放射学、内镜和活检检查显示胃窦轻度狭窄、最初诊断为良性的溃疡以及腺癌。在切除的胃组织中发现了非干酪样肉芽肿，伴有上皮样细胞和巨细胞以及腺癌。胃部分切除（B II）1年半后，尸检发现吻合口附近癌复发及腹部淋巴结转移。未再发现结节病的胸部或腹部表现。
