Gastric carcinoids of ECL cells. Pathological and clinical analysis of eight cases

Acta Pathol Jpn. 1985 Mar;35(2):361-75.

Abstract

Clinical, histological, histochemical and ultrastructural characteristics of eight cases of carcinoid tumors of the non-antral portion of the stomach are presented. Four cases with multiple polypoid lesions are accompanied by an increased level of gastrin. A normal level of gastrin was present in the other four cases with isolated tumor and a normal component of endocrine cells in the uninvolved mucosa. In the first group with multiple lesions, the histological and histochemical analysis of the endocrine cells revealed a wide range of appearances: a) "simple hyperplasia", b) "nodular hyperplasia", and c) carcinoid tumor. These aspects suggested a different pathogenesis for the carcinoid tumors of the non-antral portion of the stomach with possible therapeutical implications.

MeSH terms

  • Achlorhydria / metabolism
  • Adult
  • Aged
  • Carcinogens / metabolism
  • Carcinoid Tumor / blood
  • Carcinoid Tumor / classification
  • Carcinoid Tumor / pathology*
  • Chromaffin System / ultrastructure*
  • Enterochromaffin Cells / ultrastructure*
  • Female
  • Gastrins / blood
  • Humans
  • Hyperplasia
  • Male
  • Middle Aged
  • Precancerous Conditions / pathology
  • Stomach / ultrastructure
  • Stomach Neoplasms / blood
  • Stomach Neoplasms / classification
  • Stomach Neoplasms / pathology*

Substances

  • Carcinogens
  • Gastrins