Castellote J, Porta F, Badal J M, Sant F, Valdes V, Libori R
Sección de Aparato Digestivo, Hospital General de Manresa, Barcelona.
Rev Esp Enferm Dig. 1997 Jun;89(6):485-7.
We report a case of a gastric carcinoid tumor in an anemic woman with chronic atrophic gastritis and hypergastrinemia. An antrectomy with excision of a carcinoid tumor was performed; afterwards, gastrinemia was normal. Gastric carcinoids were considered uncommon gastric cancers; however, in recent years they have been studied with increasing interest because, as in chronic atrophic gastritis, it has been suggested that they might be produced by prolonged hypergastrinemia associated with therapeutic use of gastric acid supressors. We discuss the gastrin hypothesis, the different clinical types of gastric carcinoids and its therapeutical management.
我们报告了一例患有慢性萎缩性胃炎和高胃泌素血症的贫血女性的胃类癌肿瘤病例。实施了胃窦切除术并切除了类癌肿瘤;术后,胃泌素血症恢复正常。胃类癌曾被认为是罕见的胃癌;然而,近年来对其研究兴趣日益增加,因为正如在慢性萎缩性胃炎中一样,有人提出它们可能由与胃酸抑制剂治疗性使用相关的长期高胃泌素血症引起。我们讨论了胃泌素假说、胃类癌的不同临床类型及其治疗管理。