Covotta A, Covotta L, D'Ambra G, Paoletti M, Urbano V, Midiri G, Bertolotti A
Istituto di IV Clinica Chirurgica, S.S. Endoscopia Digestiva, Università degli Studi La Sapienza, Roma.
G Chir. 1994 Jan-Feb;15(1-2):29-31.
Gastric xanthomas are rare in routine endoscopy, generally ranging from to 2 to 5 mm in diameter, mostly isolated, but in some cases multiple. Their nature has not yet been cleared. In fact, even if they have histochemical characteristics similar to cutaneous xanthelasmas, they are not generally considered closely related to lipid metabolism disorders. The Authors report a case with some peculiarities regarding number, location and dimension of the gastric xanthomas, and point out the possibility of a metabolic disorder in their aetiopathogenesis.
胃黄色瘤在常规内镜检查中较为罕见,直径一般在2至5毫米之间,大多为孤立性,但在某些情况下也会出现多发性。其性质尚未明确。事实上,即使它们具有与皮肤睑黄瘤相似的组织化学特征,但一般并不认为与脂质代谢紊乱密切相关。作者报告了一例胃黄色瘤在数量、位置和大小方面具有一些特殊性的病例,并指出其发病机制中存在代谢紊乱的可能性。