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胃神经内分泌细胞肿瘤的类型及其癌前病变的研究

The type of gastric endocrine tumours and their precusor lesions

  • 摘要: 目的:对胃内分泌细胞肿瘤及瘤旁粘膜的病理生物学行为进行探讨。方法:应用10种内分泌标记及激素抗体免疫组化方法对42例胃内分泌肿瘤及瘤旁粘膜进行观察。结果:发现胃内分泌瘤可以分为两个类型。一型为伴有慢性萎缩性胃炎A型(CAG-S)26例的瘤旁粘膜内分泌细胞增生及异型增生较重;肿瘤多位于粘膜内及粘膜下层。患者多伴有高胃泌素血症及胃窦G细胞增生。另一型16例为伴有慢性萎缩性胃炎B型(CAG-B)或不伴有萎缩性胃炎内分泌瘤瘤旁粘膜内分泌细胞变化较轻,肿瘤侵润性强。结论:不同类型的胃内分泌肿瘤生物学行为及治疗有所不同。

     

    Abstract: Abstract AIM The study differentiates specific types of gastric endocrine tumours and their biological behaviour.METHODS A immmunohistochemical method using ten antibodes was carried out in 42 gastric endocrine tumours and extratumoral mucosa.RESULTS Two variants of gastric endocrine tumours were identified. Chronic atrophic gastritis type A (CAG-A) was found in 26 cases showing tumor extension limited to the mucosa or submucosa, consitent hypegastrinemia and G cell hyperplasia. The 16 associated chronic atrophic gastritis type B (CAG-B) or nonatrophic mucosa showing extratumoral proliferation of endocrine cell was not serious, were more aggressive.CONCLUSIONS It is of relevance for tumor biological behaviour and may provide the rationale for less aggressive therapeutic approach in the patients.

     

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