作者研究了16例胃类癌病人,男女各半,年龄从30至93岁(平均65.9岁).均经内窥镜活检或手术确诊.腹部CT及经核素标记的生长抑素扫描以确定淋巴结或肝脏转移.免疫细胞比学检查(嗜铬蛋白颗粒、神经元特异性烯醇酶)及部分行电镜检查以诊断神经内分泌肿瘤.结果:胃类癌病人呈多样无特异性的症状体征,包括消化不良、贫血、粪便潜血阳性、内窥镜检出息、肉.1例上消化道出血.本组无一例有类癌综合征的迹象.内窥镜中最常见的多发性肿瘤为无数小型红斑性息肉,单发性肿瘤者的病变则为典型的人型红班性结节.其中仅1例有肝脏转移.活检证实为类癌13例(81%)、微类癌2例(12%)及粘液性类癌1例(6%).肿瘤侵及粘膜下5例,其中1例肝脏转移.肿瘤均原发于胃底,1例扩展至窦体交界处.最常见的并存病理状态是慢性萎缩性胃炎,其他包括糖尿病、食道癌、前列腺癌、克隆氏病及脑动静脉畸形.2例多发灶者的血浆胃泌素>1000 ng/L.治疗方式多样,4例(25%)行全胃切除术,3例(19%)行胃次全切除术(含窦部切除),经内窥镜息肉切除3 The authors studied 16 cases of gastric carcinoid patients, male and female, aged from 30 to 93 (average 65.9 years). All were confirmed by endoscopic biopsy or surgery. Abdominal CT and radionuclide-labeled somatostatin scans to determine Lymph node or liver metastasis. Immune cytology test (P-chromogranular particles, neuron-specific enolase) and partial galvano-myelography are used to diagnose neuroendocrine tumors. Results: Patients with gastric carcinoids have multiple, non-specific symptoms and signs. Including indigestion, anemia, fecal occult blood positive, endoscopic detection of interest, meat. 1 case of upper gastrointestinal bleeding. There is no sign of carcinoid syndrome in this group. The most common multiple tumors in the endoscope are countless small The lesions of erythema polyps and single tumors were typical human red-beaked nodules. Only 1 of them had liver metastasis. Biopsy confirmed 13 cases (81%) and 2 cases of microcarcinoids (12 cases). (%) and mucoid carcinoid in 1 case (6%). Tumor invasion and submucosa in 5 cases, including 1 case of liver metastasis. Tumors were all primary in the fundus, 1 case extended to the sinus junction. The most common coexist pathology. The status is chronic atrophic gastritis. Others include diabetes, esophageal cancer, prostate cancer, Crohn’s disease, and Arteriovenous malformation. Plasma gastrin in the 2 multiple lesions was >1000 ng/L. The treatment was varied, 4 cases (25%) underwent total gastrectomy, and 3 cases (19%) underwent subtotal gastrectomy (including Sinus resection), endoscopic polypectomy 3