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題 名 | Carcinoid of the Gastric Stump--A Case Report=殘胃類癌之病例報告 |
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作 者 | 鍾侑庭; 葉大成; 湯俊生; 林敏哲; 黃志仁; 吳誠中; 劉自嘉; | 書刊名 | 中華民國外科醫學會雜誌 |
卷 期 | 31:2 民87.03-04 |
頁 次 | 頁109-112 |
分類號 | 415.527 |
關鍵詞 | 殘胃類癌; Carcinoid; Carcinoid syndrome; Gastric stump; Gastrin; |
語 文 | 英文(English) |
中文摘要 | 現在我們報告一例因十二指腸潰瘍合併出血接受兩側迷走神經幹切除、半胃切除 及胃、十二指腸接合手術,於25年後在殘胃上產生類癌合併腸繫膜及多發性肝轉移之病例, 同時我們複習了胃部類癌之相關文章。這位病患從1988年開始,每年定期接受胃鏡及切片 檢查。術前,病人除了偶有上腹部疼痛以外並無類癌症候群之症狀,其血中胃泌素之濃度亦 正在正常範圍。雖然給予積極治療,該病患手術10個月後因多發性轉移而死亡。這是第二 文獻發表之殘胃類癌。這個罕見之病例顯示即有血中高濃度胃泌素長期之刺激,類癌仍可能 於胃部。這種類癌比因高胃泌素刺激所造成之類癌還要惡性。 |
英文摘要 | A case of metastasizing carcinoid of the gastric stump found incidentally 25 years after hemigastrectomy with Billroth II anastomosis for duodenal ulcer bleeding is presented in the present study and the relating literature on carcinoid of stomach is reviewed. The patient had received a regular endoscopic examination and biopsy once a year since 1988. Pre-operatively, there was no evidence of the carcinoid syndrome and the circulating level of gastrin was within the normal range. However, even with aggressive treatment, the patient expired due to carcinomatosis and multiple bone metastases 10 months after the operation. This is the second incidence of the gastric stump carcinoid reported in the literatures. This unusual case shows that gastric carcinoid tumors may develop without trophic effect of hypergastrinemia, and it usually behaves as a high grade malignant tumor. |
本系統中英文摘要資訊取自各篇刊載內容。