A Case of Multiple Gastric Carcinoids.

Machida, Akio; Murakami, Masahiko; Niiya, Takashi; Ri, Ugen; Kusano, Mitsuo; Ohike, Nobuyuki; Morohoshi, Toshio

doi:10.5833/jjgs.33.1493

Cited by 2 publications

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“…But, our case was not associated with pernicious anemia. Fifty-seven cases multiple gastric carcinoids associated with type A gastritis and hypergastrinemia have been reported [4][5][6][7]. These multiple gastric tumors of less than 1 cm in size were recognized associated with numerous ECM ranging from the upper body to the fornix.…”

Section: Discussionmentioning

confidence: 99%

“…There have been cases which have shown remaining carcinoid tumors in the remnant stomach [1 1]. Carcinoids are thought to develop from neoplastic change in the ECM in the fundic gland area [7]. So, in the treatment of multiple gastric carcinoid with type A gastritis, total gastrectomy with lymph node dissection is concluded to be the recommended standard operative procedure, in order to resect thefundic gland area completely which could be the origin of carcinoids and ECM.…”

Section: Discussionmentioning

confidence: 99%

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Multiple Carcinoids in the Stomach with Hypergastrinemia and Type A Gastritis. A Case Report.

et al. 2000

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We have experienced a case of the stomach with hypergastrinemia and type A gastritis withmultiple carcinoids in a 37-year-old woman. An upper gastrointestinal series revealed multiple minute polyps in the upper body of the stomach. All polyps were diagnosed as carcinoid using endoscopic biopsies. She had neither symptom or signs of typical carcinoid disease. The serum gastrin level was as high as 725 pglml. Total gastrectomy was performed, and the diagnosis of multiple gastric carcinoids (sm, no) with type A gastritis was histologically confirmed. After the operation, the serum gastrin level returned to normal, and the patient has been doing well and is disease-free to date at 7 years after the operation. This case suggested that multiple gastric carcinoid lesions may be precipitated by chronic atrophic gastritis accompanying hypergastrinemia. In the treatment of multiple gastric carcinoids with type A gastritis, total gastrectomy with lymph node dissection should be standard operative procedure, in order to resect the fundic gland area completely which could be the origin of carcinoids and endocrine cell micronest.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%