Becker H D, Gabriel A
Abteilung Allgemeine Chirurgie, Universitaet Tuebingen.
Langenbecks Arch Chir. 1996;381(1):18-22. doi: 10.1007/BF00184250.
Carcinoids of the stomach are rare but have gained importance since the introduction of acid secretion inhibitors. The most important type is the tumor occurring in patients with chronic atrophic gastritis with and without pernicious anemia. The tumors are benign and can be treated by local endoscopic or surgical methods. Antrectomy reduces hypergastrinemia and may cause regression of the tumor. Sporadic carcinoids of the gastric antrum are malignant, however, and require radical surgical treatment.
胃类癌罕见,但自酸分泌抑制剂问世以来已变得越发重要。最重要的类型是发生于伴有或不伴有恶性贫血的慢性萎缩性胃炎患者的肿瘤。这些肿瘤是良性的,可通过局部内镜或手术方法治疗。胃窦切除术可降低高胃泌素血症,并可能使肿瘤消退。然而,胃窦散发性类癌是恶性的,需要进行根治性手术治疗。