Light and electron microscopic examination of a goblet cell carcinoid revealed cells with pleomorphic neurosecretory-type granules, cells containing mucin some of which also contained these granules and less differentiated cells lacking the aforementioned features. Recent embryologic and anatomic studies of developing avian and mammalian gut, respectively, show that intestinal APUD cells are probably of endodermal origin. Therefore, mixed carcinoid tumors such as the goblet cell variant could arise in crypt base stem cells. Cancer 44:1700-1706, 1979. HE EXISTENCE OF TUMORS that possess the T morphologic characteristics of two or more discrete embryonic cell systems raises questions concerning the histogenesis and differentiation of these tumors. The goblet cell carcinoid30 is an example of a neoplasm with a mixed phenotype and as such has aroused much interest. Herein we describe the light and electron microscopic morphology of a goblet cell carcinoid. CASE REPORT A 62-year-old diabetic male was admitted with chills, a temperature of 104 F and colicky abdominal pain of 60 hours' duration. Moderate abdominal distention and left lower quadrant tenderness without rebound were noted. Chest and abdominal x-ray revealed linear atelectasis in the left mid-lung field. He was given antibiotics with physical and supportive therapy. Barium enema and colonoscopy were normal. After discharge an intermittent fever (101 F) developed and he was readmitted following collapse and brief loss of consciousness. The blood pressure was 90/60 and the temperature 99.8 F. Slight tenderness was elicited in the left lower quadrant. The hemoglobin was 11.4 g/dl and a neutrophil leucocytosis (WCC 18,000/mm3) was present; fasting blood sugar was 270 mg/dl. The stool contained melena and 2 liters of coffee-ground material were obtained on nasogastric suction. Arterial bleeding without evident ulceration was observed in the second part of the duodenum by endoscopy. The hemo-globin was 7.4 g/dl. At laparotomy, after blood transfusion, a shallow linear ulcer with an active bleeding point was oversewn. About 100 ml of pus was aspirated from an appendiceal abscess which lay between the sigmoid colon and a loop of jejunum and beneath extensive adhesions. The abscess with a partly necrotic appendix and fecalith were removed. A portion of the cecum with appendix stump was excised three months later. Recovery was uneventful and the patient is free of recurrence three years later. MATERIALS AND METHODS Sections of formalin-fixed paraffin-embedded blocks of tissue were stained with hematoxylin-eosin, periodic acid-Schiff, mu-cicarmine, Alcian blue, trichrome, basic fuchsin, naphthol-ASD-chloroacetate ester-ase,I7 Grimelius and Masson-Fontana methods. Immunoperoxidase staining for mur-amidase was performed using Pangalis' method.23 Normal appendix, ileum and an ileal carcinoid were used as controls. Tissue blocks for electron microscopy were taken from the formalin-fixed specimen within 36 hours, postfixed in 3% glutaraldehyde and subsequently processed i...