“…However, controversial evidence exists. Some studies reported that ghrelin was not detected in human somatotroph adenomas (Wasko et al, 2006), mucoepidermoid carcinoma of salivary gland (Aydin et al, 2005), esophageal (Mottershead et al, 2007) and gastric (Aydin et al, 2005;Mottershead et al, 2007) adenocarcinoma, and gastrointestinal endocrine tumors with multiple endocrine neoplasia type 1 (Raffel et al, 2005). The authors indicated that an infiltrating adenocarcinoma could decrease ghrelin production and disrupt local paracrine mechanisms by replacing normal gastric mucosa (Mottershead et al, 2007).…”