Langhans P, Clemens M, Schönleben K, Schlake W, von Bassewitz D B
Chirurg. 1978 Jul;49(7):401-5.
Carcinoid tumors can be found in the entire alimentary tract. Stomach carcinoids make up about 3% of all carcinoids; 0.39% of all stomach tumors are carcinoids. Multiple stomach carcinoid is a medical rarity. In spite of an invasive growth, carcinoids with a diameter of less than 1 cm are considered semimalignant, those with a diameter of more than 1 cm are considered sure malignant. There are 8 cases of multiple gastric carcinoids described in the literature. In our case we found macroscopically 31 polyps with a diameter of between 0.4 and 2 cm in the stomach. Histologically they were growing invasively with small tumor groups in the lymph ducts. Therapeutically total gastrectomy was necessary.
类癌肿瘤可见于整个消化道。胃类癌约占所有类癌的3%;在所有胃部肿瘤中,类癌占0.39%。多发性胃类癌在医学上较为罕见。尽管类癌呈浸润性生长,但直径小于1厘米的类癌被认为是半恶性的,直径大于1厘米的则被认为肯定是恶性的。文献中描述了8例多发性胃类癌病例。在我们的病例中,在胃内肉眼可见31个直径在0.4至2厘米之间的息肉。组织学检查显示它们呈浸润性生长,在淋巴管中有小肿瘤团块。治疗上有必要进行全胃切除术。