Das Neurinom des Magens

Abstract

The pathologic, symptomatic, diagnostic and therapeutic characteristics of gastric neurinoma are demonstrated on the basis of 5 cases of the author's own case material. This rare gastric tumour accounts for 0.2% of all gastric tumours and has it's special importance for the diagnostic differentiation of gastric carcinoma and sarcoma. The maximum incidence is between age 50 to 60. Typical symptoms are acute gastro-intestinal bleeding, chronic gastric pain and palpable tumour in the epigastrium with relatively good general condition. Laboratory findings are not specific, X-ray examination and gastroscopy can be at best tentative. Resection is the therapy of choice, because potential malignancy accounts for 10 to 15% and the complications as bleeding and perforation can be dangerous. The prognosis is good even in cases of sole local excision, no recidives were found.