Summary
Report of 27 neurogenic blastomas of the stomach and the small intestine within a period of approximately 25 years from a large and unselected surgical material primary mostly classified as of myogenious origin. The following conclusions were drawn:
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1.
Feyrter's typing of small nerval blastomata is also to be applied to the larger ones: the fusiform variety, the multiform one and the reticular neuroma, as well as to the neurofibroma.
One type, probably of the reticular subvariety, meanwhile qualified as “neuroma with short and clumsy fusiform cells” is not amongstFeyrter's original type of neuromas.
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2.
The structure of the reticulum in the gastrointestinal neuromas is of a definite and permanent shape within the different subvarieties.
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3.
The larger neurogenic blastomata show signs of a malignant growth \3- against the so called mesenchymatous blastomas \3- microscopically proofed by a multitude of mitosis-formation.
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4.
The very extensive literature on this subject describes neuromata of the gastro-intestinal tract not only under this proper name, but also erroneously in chapters dedicated to myofibroma, sarcoma and angiomata.
Résumé
Rapport sur 27 tumeurs névrogènes de l'estomac et du intestin grêle provenants d'un grand matériel chirurgical non choisi observé au courant de 25 années. Ces tumeurs furent classées jadis pour la plupart comme myogènes et donnent suite aux conclusions citées ici:
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1.
La classification deFeyrter concernant les petits blastomes n\'evraux s'applique \'egalement aux blastomes plus volumineux: au n\'evrome fusiforme, multiforme et r\'eticulaire, ainsi qu'au n\'evrofibrome.
Un type, peut-être une variation du névrome réticulaire, qualifié en attendant “comme névrome fusocellulaire à forme courte et massive” manque parmi les types deFeyrter.
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2.
La structure r\'eticulaire des n\'evromes gastro-intestinaux est d'une morphologie caract\'eristique et constante pour chacun des types.
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3.
Les blastomes n\'evrog\`enes plus volumineux sont d'une certaine malignit\'e \3- tout au contraire des tumeurs dites m\'esenchymales \3- caract\'eris\'es par une quantit\'e de mitoses.
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4.
La litt\'erature nombreuse \`a ce sujet d\'ecrit des n\'evromes du tracte gastrointestinal non seulement sous ce propre nom mais faussement aussi parmi les trait\'es d\'edi\'es aux myomes, sarcomes et angiomes.
Riassunto
Rapporto di 27 tumori nevrogeni dello stomaco e dell'intestino tenue provenienti di un grande materiale chirurgico non scelto di un periodo di 25 anni. La più grande parte di questi tumori fu classificata dapprima come blastomi miogeni. Le conclusioni seguenti furono derivate:
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1.
La classificazione delFeyrter, al riguardo dei piccoli tumori nevrali è ugualmente applicabile ai tumori più voluminosi sia ai nevromi fusiformi, multiformi, e reticolari, come ai nevrofibromi. Un tipo, forse una variazione del nevroma reticolare, frattanto qualificato “come nevroma fusiforme a cellule corte e massicce” manca tra i tipi delFeyrter.
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2.
La struttura reticolare dei nevromi gastrointestinali è di una morfologia caratteristica e costante per ciascuno dei tipi.
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3.
I blastomi nevrogeni più voluminosi sono di una certa malignità — contrario ai tumori detti mesenchimali — caratterizzati per una quantità di mitosi.
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4.
La letteratura descrive nevromi non solo sotto questo proprio nome, ma anzi falsamente nei capitoli dedicati ai miofibromi, sarcomi ed angiomi.
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Piringer-Kuchinka, A. Zur Histologie und Biologie der Neurome des Magen-Darmschlauches. Acta Neurovegetativa 1, 441–473 (1950). https://doi.org/10.1007/BF01228883
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DOI: https://doi.org/10.1007/BF01228883